Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Cheng, Yusheng, Al-Aroomi, Maged Ali, Al-Worafi, Naseem Ali, Al‑Moraissi, Essam Ahmed, Sun, Changfu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
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
_version_ 1784884683394252800
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
work_keys_str_mv AT chengyusheng influenceofinflammationonbleedingandwoundhealingfollowingsurgicalextractionofimpactedlowerthirdmolars
AT alaroomimagedali influenceofinflammationonbleedingandwoundhealingfollowingsurgicalextractionofimpactedlowerthirdmolars
AT alworafinaseemali influenceofinflammationonbleedingandwoundhealingfollowingsurgicalextractionofimpactedlowerthirdmolars
AT almoraissiessamahmed influenceofinflammationonbleedingandwoundhealingfollowingsurgicalextractionofimpactedlowerthirdmolars
AT sunchangfu influenceofinflammationonbleedingandwoundhealingfollowingsurgicalextractionofimpactedlowerthirdmolars