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The Impactof Multiple Suture Closure Technique on Oral Health-Related Quality of Life (OHRQoL) Following Mandibular Third Molar Surgery
Authors
Ogboh Chiedu Benz1,*, Egbor Esezobor P.1, Ugwueze Sylvanus O.2 and Osagie Aimuamwosa1
Affiliations
1
Department of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria;
2
College of
Medical Sciences, Faculty of Dentistry, University of Benin, Benin City, Edo State, Nigeria.
Abstract
Introduction: Mandibular third molar surgery is commonly associated with postoperative complications which may adversely affect OHRQoL. However, evidence on the effect of multiple suture closure on patient-reported outcomes and clinical recovery remains limited.
Aim: The aim of the study was to evaluate the impact of multiple suture technique on OHRQoL following mandibular third molar surgery.
Methods: A prospective observational study. Forty-seven patients undergoing surgical removal of impacted mandibular third molars with multiple suture closure technique were consecutively recruited. OHRQoL and clinical recovery were assessed using the OHIP-14questionnaire and pain intensity, trismus and facial swelling respectively at baseline and on postoperative Day 1, Day 3, Day 7, and one month. Descriptive statistics were used to summarize outcomes while associations between socio-demographic variable and OHRQoL categories were analyzed using Chi-square/Fisher’s exact tests. Changes over time were analyzed using repeated measures ANOVA with Greenhouse-Geisser correction, with statistical significance set at p˂0.05.
Results: Preoperatively, all participants reported impaired OHRQoL. Severe impact declined progressively over the postoperative period, with no participant reporting severe impact at one month. Repeated measures ANOVA demonstrated significant reductions in pain and trismus over time (p˂0.0001), while changes in facial swelling were not statistically significant (p=0.189). No significant associations were found between socio-demographic variables and OHRQoL outcomes at any time point (p˃0.05).
Conclusion: The multiple suture technique following mandibular third molar surgery was associated with a progressive improvement in OHRQoL, with near-complete recovery by one month. The technique did not prolong postoperative morbidity thus supporting favourable patient-centered outcomes.
Aim: The aim of the study was to evaluate the impact of multiple suture technique on OHRQoL following mandibular third molar surgery.
Methods: A prospective observational study. Forty-seven patients undergoing surgical removal of impacted mandibular third molars with multiple suture closure technique were consecutively recruited. OHRQoL and clinical recovery were assessed using the OHIP-14questionnaire and pain intensity, trismus and facial swelling respectively at baseline and on postoperative Day 1, Day 3, Day 7, and one month. Descriptive statistics were used to summarize outcomes while associations between socio-demographic variable and OHRQoL categories were analyzed using Chi-square/Fisher’s exact tests. Changes over time were analyzed using repeated measures ANOVA with Greenhouse-Geisser correction, with statistical significance set at p˂0.05.
Results: Preoperatively, all participants reported impaired OHRQoL. Severe impact declined progressively over the postoperative period, with no participant reporting severe impact at one month. Repeated measures ANOVA demonstrated significant reductions in pain and trismus over time (p˂0.0001), while changes in facial swelling were not statistically significant (p=0.189). No significant associations were found between socio-demographic variables and OHRQoL outcomes at any time point (p˃0.05).
Conclusion: The multiple suture technique following mandibular third molar surgery was associated with a progressive improvement in OHRQoL, with near-complete recovery by one month. The technique did not prolong postoperative morbidity thus supporting favourable patient-centered outcomes.
Keywords:
Mandibular third molar, multiple suture closure, oral health-related quality of
life, OHIP-14, postoperative recovery.