Effect of columnar collagen sponge on the extraction of impacted teeth and the risk of complications

doi:10.19438/j.cjoms.2023.02.008

Abstract

Abstract: PURPOSE: To investigate the effect of collagen sponge in the extraction of impacted teeth and the risk of complications. METHODS: A total of 160 patients with impacted teeth extraction were selected from June 2021 to December 2021 in Shanghai Jing'an Dental Clinic. The patients were randomly divided into experimental group and control group, 80 cases in each group. Both groups underwent conventional extraction of impacted teeth, and the control group was rinsed with 20 mL sodium chloride solution after extraction. In the experimental group, on the basis of the control group, columnar collagen sponge was inserted into the extraction wound. Bleeding, postoperative pain score, postoperative swelling degree 7 days after surgery, levels of inflammatory factors[prostaglandin E2(PGE2), myeloperoxidase(MPO), calcitonin gene-related peptide(CGRP)] in gingival crevicular fluid before and after treatment and postoperative complications (restricted opening, inflammatory induration or bruising of maxillofacial region, infection, dry socket) were compared between the two groups. SPSS 22.0 software package was used for data analysis. RESULTS: The postoperative bleeding time of the experimental group was significantly lower than that of the control group(P<0.05). The VAS scores of spontaneous pain and dysphagia in the experimental group were significantly lower than those of the control group(P<0.05). The swelling degree of experimental group was significantly lower than that of control group 7 days after tooth extraction(P<0.05). There was no difference in PGE2, MPO and CGRP between the two groups before treatment(P>0.05). After treatment, PGE2, MPO and CGRP in the two groups were significantly increased(P<0.05), PGE2, MPO and CGRP of the experimental group after treatment were significantly lower than those of the control group after treatment(P<0.05). The incidence of postoperative complications in the experimental group was significantly lower than that in the control group (P<0.05). CONCLUSIONS: Columnar collagen sponge has a good effect in extraction of impacted teeth, and can effectively avoid postoperative complications, and has little influence on inflammatory factors in gingival crevicular fluid, which is worthy of wide application.

Key words: Columnar collagen sponge, Impacted wisdom teeth, Extraction of impacted teeth, Complications, Gingival crevicular fluid inflammatory factors

CLC Number:

R782.1

WANG Chen-xin, PENG Jing, HUANG Xin, SHI Le, DAI Xiao-feng. Effect of columnar collagen sponge on the extraction of impacted teeth and the risk of complications[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(2): 146-151.

References

[1] Alberto PL.Surgical exposure of impacted teeth[J]. Oral Maxillofac Surg Clin North Am, 2020, 32(4): 561-570.
[2] Candotto V, Oberti L, Gabrione F, et al.Complication in third molar extractions[J]. J Biol Regul Homeost Agents, 2019, 33(3 Suppl. 1): 169-172.
[3] Tasoulas M, Jason S, Daskalopoulos D, et al.An unusual microscopic pattern of foreign body reaction as a complication of dry socket management[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2018, 125(5): e118-e123.
[4] Mamoun J.Dry socket etiology, diagnosis, and clinical treatment techniques[J]. J Korean Assoc Oral Maxillofac Surg, 2018, 44(2): 52-58.
[5] Mohajerani H, Esmaeelinejad M, Jafari M, et al.Comparison of envelope and modified triangular flaps on incidence of dry socket after surgical removal of impacted mandibular third molars: a double-blind, split-mouth study[J]. J Contemp Dent Pract, 2018, 19(7): 836-841.
[6] 丁允鹏, 李生娇, 钱瀚宇, 等. 应用CBCT分析阻生下颌第三磨牙牙根与下颌管的相对位置关系[J]. 实用口腔医学杂志, 2018, 34(1): 113-116.
Ding YP, Li SJ, Qian HY, et al.The relative location between the mandibular third molar and inferior alveolar canal studied by CBCT[J]. Journal of Practical Stomatology, 2018, 34(1): 113-116.
[7] 丁作友, 朱光来, 修力军. 下颌埋伏阻生牙拔除后创口关闭与否对创口愈合的影响[J].中国口腔颌面外科杂志, 2021,19(1):18-21.
Ding ZY, Zhu GL, Xiu LJ.Influence of wound healing with or without wound suture after extraction of mandibular impacted teeth[J]. China Journal of Oral and Maxillofacial Surgery, 2021,19(1):18-21.
[8] 米热扎提·泰来提,迪丽努尔·依马木. 菠萝蛋白酶在第三磨牙拔除术后患者肿胀疼痛及张口受限防治中的应用[J]. 山西医药杂志, 2018,47(1):56-59.
Mirezhati T, Dilinuer Y.Application of bromelain in the prevention and treatment of swelling, pain and restricted mouth opening in patients with third molar extraction[J]. Shanxi Medical Journal, 2018,47(1):56-59.
[9] Rakhshan V.Common risk factors of dry socket (alveolitis osteitis) following dental extraction: a brief narrative review[J]. J Stomatol Oral Maxillofac Surg, 2018, 119(5): 407-411.
[10] 张炜崎, 俞维君, 姜滨, 等. 下颌智齿阻生类型及其邻牙远中邻面患龋情况的对称性初探[J]. 口腔材料器械杂志, 2020, 29(4): 207-211.
Zhang YQ, Wei WJ, Jiang B, et al.A preliminary study on the symmetry of mandibular third molar and distal caries of adjacent mandibular second molar[J]. Chinese Journal of Dental Materials and Devices, 2020, 29(4): 207-211.
[11] 许朗, 鲁大鹏. 基于CBCT影像的阻生第三磨牙分类探讨[J]. 北京口腔医学, 2018, 26(4): 210-215.
Xu Lang, Lu DP.Classification of impacted third molar based on CBCT[J]. Beijing Journal of Stomatology, 2018, 26(4): 210-215.
[12] Yanine N, Sabelle N, Vergara-Gárate V, et al.Effect of antibiotic prophylaxis for preventing infectious complications following impacted mandibular third molar surgery: A randomized controlled trial[J]. Med Oral Patol Oral Cir Bucal, 2021, 26(6): e703-e710.
[13] Semkin VA, Gurin AN, Vitrenko DV, et al.Prevention of inflammatory complications after surgical extraction of mandibular third molars[J]. Stomatologiia (Mosk), 2022,101(3): 38-43.
[14] Ijzerman LM.Does chlorhexidine work as a preventive treatment for dry socket[J]. Ned Tijdschr Tandheelkd, 2019, 126(1): 13-15.
[15] Asmael M, Jamil A, Hasan M.Novel application of platelet-rich fibrin as a wound healing enhancement in extraction sockets of patients who smoke[J]. J Craniofac Surg, 2018, 29(8): e794-e797.
[16] Menassa G, Kassir AR, Landi L, et al.Implant placement with sinus floor elevation via the lateral approach using only absorbable collagen sponge: 12-month post-loading radiographical outcomes and implant survival rate[J]. Oral Maxillofac Surg, 2021, 25(2): 231-236.