Intraoperative removal of third molars does not affect the postoperative infections after BSSO - Randomized controlled trial |
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| Institution: | 1. Department of Oral and Maxillofacial Surgery, Saveetha Dental College & Hospitals, Saveetha Institute of Medical & Technical Sciences, Saveetha University, Chennai, 600077, India;2. Department of Neurosurgery, KMC Hospital, Mangalore, India;1. Department of Oral and Maxillofacial and Facial Plastic Surgery, Martin-Luther-University Halle-Wittenberg (Head: Prof. Dr. Dr. S. Otto), Ernst-Grube-Straße 40, 06120, Halle, Germany;2. Professor Emeritus of the Department of Oral and Maxillofacial and Facial Plastic Surgery, Martin-Luther-University Halle-Wittenberg, 06193, Petersberg, Germany;1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, PR China;2. Department of Stomatology, Changhai Hospital, Shanghai, 200433, PR China;1. Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Korea University Anam Hospital, Seoul, Republic of Korea;2. Department of Plastic and Reconstructive Surgery, Ulsan University College of Medicine, Seoul Asan Medical Center, Seoul, Republic of Korea;3. Department of Neurosurgery, Ulsan University, College of Medicine, Seoul Asan Medical Center, Seoul, Republic of Korea;1. Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy;2. Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy;3. Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy;4. Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy |
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| Abstract: | The goal of this study was to evaluate the incidence of postoperative wound infection and timing of mandibular third molar removal in bilateral sagittal split osteotomy (BSSO).This wis a prospective, single-blinded, randomized, split-mouth clinical trial. All patients were divided into two groups: Group I, where pre-operative removal of the third molars were done 6 months prior to BSSO and Group II, where intra-operative removal of contralateral third molars were done for the same patients during the osteotomy. The primary outcome variable studied was postoperative infection rate and the secondary outcome variable was bad split during BSSO.Among the seventy five patients (150 sites), one site in group II developed infection whereas none of the sites in group I developed infection (p = 1.000). No sites had bad split in both the groups.The results from the present study show that there is no difference between the presence or absence of mandibular third molars on post-operative wound infection following bilateral sagittal split osteotomy, and the authors hence suggest removing third molars during BSSO for patient comfort. |
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| Keywords: | BSSO Third molar Infection Osteotomy Bad split |
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