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Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars
OBJECTIVE: This study aimed to investigate the effect of inflammatory states following impacted lower third molar (ILTM) surgery regarding postoperative bleeding and wound healing. METHODS: The study included patients who underwent extraction of ILTMs associated with or without inflammatory conditio...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909950/ https://www.ncbi.nlm.nih.gov/pubmed/36759794 http://dx.doi.org/10.1186/s12903-023-02754-0 |
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author | Cheng, Yusheng Al-Aroomi, Maged Ali Al-Worafi, Naseem Ali Al‑Moraissi, Essam Ahmed Sun, Changfu |
author_facet | Cheng, Yusheng Al-Aroomi, Maged Ali Al-Worafi, Naseem Ali Al‑Moraissi, Essam Ahmed Sun, Changfu |
author_sort | Cheng, Yusheng |
collection | PubMed |
description | OBJECTIVE: This study aimed to investigate the effect of inflammatory states following impacted lower third molar (ILTM) surgery regarding postoperative bleeding and wound healing. METHODS: The study included patients who underwent extraction of ILTMs associated with or without inflammatory conditions. Post-extraction bleeding and wound healing were assessed. In addition, mean grey values (MGVs) of alveolar bone and bone height using an orthopantomography radiograph were analyzed. RESULTS: A total of 376 patients were enrolled; 171 pericoronitis, 51 pulpitis, 44 chronic periapical periodontitis, 36 chronic periodontitis, and 74 control. The bleeding score in the control group was significantly lower than in the periapical periodontitis and periodontitis groups. Excellent wound healing for control, pericoronitis, pulpitis, periapical periodontitis, and periodontitis groups was (78.38%, 35.67%, 70.59%, 70.45%, and 33.33%, respectively). Patients with pericoronitis and periodontitis had significantly poorer wound healing (P < 0.01). The MGV in periapical periodontitis and periodontitis was considerably lower than in the control group. CONCLUSIONS: The inflammatory conditions associated with ILTMs increase the risk of bleeding. So suturing with the placement of local hemostatic agents over a pressure pack alone is recommended. The poorest wound healing was in localized gingival inflammation. Furthermore, MGV was affected by age and was lower with periapical periodontitis. |
format | Online Article Text |
id | pubmed-9909950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99099502023-02-10 Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars Cheng, Yusheng Al-Aroomi, Maged Ali Al-Worafi, Naseem Ali Al‑Moraissi, Essam Ahmed Sun, Changfu BMC Oral Health Research OBJECTIVE: This study aimed to investigate the effect of inflammatory states following impacted lower third molar (ILTM) surgery regarding postoperative bleeding and wound healing. METHODS: The study included patients who underwent extraction of ILTMs associated with or without inflammatory conditions. Post-extraction bleeding and wound healing were assessed. In addition, mean grey values (MGVs) of alveolar bone and bone height using an orthopantomography radiograph were analyzed. RESULTS: A total of 376 patients were enrolled; 171 pericoronitis, 51 pulpitis, 44 chronic periapical periodontitis, 36 chronic periodontitis, and 74 control. The bleeding score in the control group was significantly lower than in the periapical periodontitis and periodontitis groups. Excellent wound healing for control, pericoronitis, pulpitis, periapical periodontitis, and periodontitis groups was (78.38%, 35.67%, 70.59%, 70.45%, and 33.33%, respectively). Patients with pericoronitis and periodontitis had significantly poorer wound healing (P < 0.01). The MGV in periapical periodontitis and periodontitis was considerably lower than in the control group. CONCLUSIONS: The inflammatory conditions associated with ILTMs increase the risk of bleeding. So suturing with the placement of local hemostatic agents over a pressure pack alone is recommended. The poorest wound healing was in localized gingival inflammation. Furthermore, MGV was affected by age and was lower with periapical periodontitis. BioMed Central 2023-02-09 /pmc/articles/PMC9909950/ /pubmed/36759794 http://dx.doi.org/10.1186/s12903-023-02754-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Cheng, Yusheng Al-Aroomi, Maged Ali Al-Worafi, Naseem Ali Al‑Moraissi, Essam Ahmed Sun, Changfu Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title | Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title_full | Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title_fullStr | Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title_full_unstemmed | Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title_short | Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
title_sort | influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909950/ https://www.ncbi.nlm.nih.gov/pubmed/36759794 http://dx.doi.org/10.1186/s12903-023-02754-0 |
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