Efficacy of Collagen Resorbable Membrane after Surgical Extraction of Impacted Mandibular Third Molar
Collagen Resorbable Membrane after Surgery of Impacted Mandibular Third Molar
DOI:
https://doi.org/10.54393/pjhs.v5i12.1914Keywords:
Mandibular Third Molar, Impaction, Collagen Resorbable Membrane, Bone StatusAbstract
Impacted teeth, particularly mandibular third molars, can cause complications like pain, infection, and periodontal issues in adjacent teeth. Surgical management strategies, including the use of collagen-resorbable membranes, may improve healing and minimize postoperative complications.. Objectives: To evaluate the effectiveness of a collagen-resorbable membrane following surgical extraction of impacted mandibular third molars, focusing on pain severity, bone status, and periodontal ligament status adjacent to the second molar. Methods: The quasi-experimental study utilized a non-probability sampling technique for 6 months. Patients were equally divided into three groups: A (primary closure), B (secondary closure), and C (collagen membrane-based primary closure). Pain severity, bone status, and periodontal ligament status adjacent to the second molar were evaluated clinically and via post-operative radiographs postoperatively at the 2nd, 4th, 6th, and 12th weeks. Results: The study involved participants with an average age of 28.51 ± 7.53 years and an unequal gender distribution across all groups. Initially, Group C experienced higher moderate to severe pain levels. Group A had the longest surgery duration at 41.89 ± 14.10 minutes. By the second week of follow-up, pain significantly decreased in all groups, with no significant differences between them. By the fourth and sixth weeks, pain levels continued to decrease, with only mild pain observed in one patient each in Groups B and C. Conclusions:. There is no evidence to suggest that collagen resorbable membrane it is more effective than primary or secondary closure techniques
References
Lamichhane NS, Sigdel B, Lamichhane S, Tripathi R, Koirala U, Bajgai DP. Mandibular Third Molar Impaction among Patients Visiting Outpatient Dental Department of a Tertiary Care Centre. Journal of the Nepal Medical Association. 2023 Oct; 61(266): 769. doi: 10.31729/jnma.8295.
Matzen LH, Schropp L, Spin-Neto R, Wenzel A. Use of Cone Beam Computed Tomography to Assess Significant Imaging Findings Related to Mandibular Third Molar Impaction. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2017 Nov; 124(5): 506-16. doi: 10.1016/j.oooo.2017.07.007.
Juodzbalys G and Daugela P. Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification. Journal of Oral and Maxillofacial Research. 2013 Apr; 4(2). doi: 10.5037/jomr.2013.4201.
Chen YW, Chi LY, Lee OK. Revisit Incidence of Complications After Impacted Mandibular Third Molar Extraction: A Nationwide Population-Based Cohort Study. Plos One. 2021 Feb; 16(2): e0246625. doi: 10.1371/journal.pone.0246625.
Movaniya PN, Makwana TR, Desai NN, Makwana KG, Patel HB. Efficacy of Collagen Membrane Graft in Intraoral Surgery-An Evaluative Study. Annals of Maxillofacial Surgery. 2021 Jan; 11(1): 42-8. doi: 10.4103/ams.ams_192_20.
El Masri M, Shokry M, Attia N, Ramal A. Comparison of PRF Versus Collagen Membrane On Healing of Socket and Bone Formation (Randomized Split Mouth Design). Acta Scientific Dental Sciences. 2018; 2: 13-22.
Kim JW, Seong TW, Cho S, Kim SJ. Randomized Controlled Trial On the Effectiveness of Absorbable Collagen Sponge After Extraction of Impacted Mandibular Third Molar: Split-Mouth Design. BioMed Central Oral Health. 2020 Dec; 20: 1-9. doi: 10.1186/s12903-020-1063-3.
Kilinc A and Ataol M. Effects of Collagen Membrane On Bone Level and Periodontal Status of Adjacent Tooth After Third Molar Surgery: A Randomized Controlled Trial. Head and Face Medicine. 2023 Mar; 19(1): 13. doi: 10.1186/s13005-023-00351-8.
Kokash M, Darwich K, Ataya J. The Effect of Hyaluronic Acid Addition to Collagen in Reducing the Trismus and Swelling After Surgical Extraction of Impacted Lower Third Molars: A Split-Mouth, Randomized Controlled Study. Clinical Oral Investigations. 2023 Aug; 27(8): 4659-66. doi: 10.1007/s00784-023-05092-1.
Elsayed SA, Gawish AS, Khalifa A. Management of Periodontal Defect After Mandibular Third Molar Extraction. International Journal of Clinical Oral and Maxillofacial Surgery. 2015; 1(1): 4-10. doi: 10.11648/j.ijcoms.20150101.12.
Azab M, Ibrahim S, Li A, Khosravirad A, Carrasco-Labra A, Zeng L et al. Efficacy of Secondary Vs Primary Closure Techniques for the Prevention of Postoperative Complications After Impacted Mandibular Third Molar Extractions: A Systematic Review Update and Meta-Analysis. The Journal of the American Dental Association. 2022 Oct; 153(10): 943-56. doi: 10.1016/j.adaj.2022.04.007.
Kilinc A and Ataol M. How Effective Is Collagen Resorbable Membrane Placement After Partially Impacted Mandibular Third Molar Surgery On Postoperative Morbidity? A Prospective Randomized Comparative Study. BioMed Central Oral Health. 2017 Dec; 17: 1-8. doi: 10.1186/s12903-017-0416-z.
Kumari B, Punjabi SK, Mustafa N, Iqbal R, Shams S. Comparison between Modified Triangular Flap and Envelop Flap Techniques for Surgical Removal of Impacted Mandibular Third Molar. Journal of Pharmaceutical Research International. 2022 Feb; 34(14A): 58-66. doi: 10.9734/jpri/2022/v34i14A35649.
Panyasakulwong M. Prevalence and Pattern of Impacted Third Molar as Assessed by Panatomic Radiographs in Patients Admitted to Rajavithi Hospital. Journal of The Department of Medical Services. 2022 Dec; 47(4): 92-100.
Braimah RO, Ali-Alsuliman D, Agbaje HO, Alsalah Y, Sharma HK, Alsawas NM. Prevalence, Sociodemographics, and Indications for Extraction of Impacted Mandibular Third Molar in Najran, a Southern Saudi Arabian City. Saudi Journal of Oral Sciences. 2021 May; 8(2): 75-80. doi: 10.4103/sjos.SJOralSci_27_20.
Ramamurthy A, Pradha J, Jeeva S, Jeddy N, Sunitha J, Kumar S. Prevalence of Mandibular Third Molar Impaction and Agenesis: A Radiographic South Indian study. Journal of Indian Academy of Oral Medicine and Radiology. 2012 Jul; 24(3): 7. doi: 10.4103/0972-1363.166268.
Camps-Font O, Caro-Bonfill C, Sánchez-Garcés MÀ, Gay-Escoda C. Periodontal Regenerative Therapy for Preventing Bone Defects Distal to Mandibular Second Molars After Surgical Removal of Impacted Third Molars: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Journal of Oral and Maxillofacial Surgery. 2018 Dec; 76(12): 2482-514. doi: 10.1016/j.joms.2018.07.025.
Kumari CB, Ramakrishnan T, Devadoss P, Vijayalakshmi R, Alzahrani KJ, Almasri MA et al. Use of Collagen Membrane in the Treatment of Periodontal Defects Distal to Mandibular Second Molars Following Surgical Removal of Impacted Mandibular Third Molars: A Comparative Clinical Study. Biology. 2021 Dec; 10(12): 1348. doi: 10.3390/biology10121348.
Sammartino G, Tia M, Gentile E, Marenzi G, Claudio PP. Platelet-rich plasma and Resorbable Membrane for Prevention of Periodontal Defects After Deeply Impacted Lower Third Molar Extraction. Journal of Oral and Maxillofacial Surgery. 2009 Nov; 67(11): 2369-73. doi: 10.1016/j.joms.2009.04.093.
Korkmaz YT, Mollaoglu N, Ozmeriç N. Does Laterally Rotated Flap Design Influence the Short-Term Periodontal Status of Second Molars and Postoperative Discomfort After Partially Impacted Third Molar Surgery? Journal of Oral and Maxillofacial Surgery. 2015 Jun; 73(6): 1031-41. doi: 10.1016/j.joms.2015.01.005.
Nguyen NT, Le SH, Nguyen BL. The Effect of Autologous Demineralized Dentin Matrix On Postoperative Complications and Wound Healing Following Lower Third Molar Surgery: A Split-Mouth Randomized Clinical Trial. Journal of Dental Sciences. 2024 May. doi: 10.1016/j.jds.2024.04.026
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments