A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation.

Objective: To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. . Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1, 2, and 7 postoperative days.

Results: This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods ( < 0.05). The mean NRS score was significantly higher in group 1 on the 1 postoperative day ( < 0.05). The mean NRS score was significantly higher in group 1 on the 1 postoperative day (.

Conclusion: Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.