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  • Impact of Drains on the Pos...
    Ibrahim, Mohammed; Jadon, Samiksha Singh; Sharma, Piyush; Pendyala, Siva Kumar; Tiwari, Heena; Hotkar, Sachin S

    Annals of the Romanian society for cell biology, 01/2021, Volume: 25, Issue: 4
    Journal Article

    Conclusion: It can be concluded that the use of a rubber drain do not have any positive impact on reducing the postoperative sequel Keywords: Impacted molars, postoperative swelling, Trismus, postoperative pain Introduction Literature is replete with evidence suggesting that surgical removal of the unerupted wisdom tooth is the frequently performed clinical intervention in oral surgical practice.1 An attempt to remove a deep seated impacted wisdom tooth is associated with substantial surgical challenge even to an experienced operator. Numerous options have been put forth in the literature pertaining to the management of the extraction sockets subsequent to third molar surgery beginning from a simple primary closure of the surgical wound to the placement of several kinds of drains, gauze strips or dressings.8,9,10,11 Even though some previous studies in the past have suggested a beneficial effect following the placement of drains on the postoperative swelling, pain or trismus few previous studies have contradicted their use.9,12 Hence, this paper is aimed at assessing the role of rubber drain in the postoperative sequel following third molar surgery. Statistical Methods: The recorded data was compiled and entered in a spreadsheet (Microsoft Excel) and then exported to data editor of SPSS Version 20.0 version 18 and Chi-square test was employed to evaluate both the groups with regards pain, swelling, trismus and wound infections. Even though primary closure is considered the gold standard few advocate the surgical wound to heal by secondary intention with the aid of drains.13 Cerqueira et al. advocated that a drain reduces pain, swelling and trismus because it permits the drainage of the residual blood collected in the tissue spaces.14 Drains soaked in tetracycline hydrochloride are also used to minimize the postoperative discomfort. 10 A recent study employed 3D face scans to quantify the amount of swelling following wisdom tooth removal and advocated that the 3D scans can be considered as a reliable tool that works without having physical contact with the patient or exposing the patient to radiation.12 They concluded that this technique is better than other techniques by providing fast and reliable results without any negative side effects to the patients.12 Literature reveals numerous studies which evaluated the effect of rubber drains and compared them with conventional primary suturing on postoperative discomfort after extraction of impacted mandibular third molars.15,16 They advocated