The Importance of Suturing Techniques in Odontectomy Surgery

Oct 13, 2025 by wbrum.org 126 views

Comparison of Horizontal Mattress Suturing Techniques with Simple Interrupted to Healing of Post-Odontectomy Wounds in Mandibular Molars at Grand Medistra Hospital Medan

Introduction

Odontectomy surgery, particularly in the third molar of the mandible, is a common procedure performed in the field of dentistry. This procedure requires appropriate suturing techniques to ensure optimal wound healing. The two suturing techniques that are often used in this procedure are horizontal mattress and simple interrupted. The selection of the right suturing technique is crucial in achieving successful wound healing and minimizing post-operative complications. This study aims to compare the effectiveness of the two techniques in the post-odontectomy wound healing process at Grand Medistra Hospital Medan.

The Importance of Suturing Techniques in Odontectomy Surgery

Suturing techniques play a vital role in the healing process of post-odontectomy wounds. The choice of suturing technique can significantly impact the outcome of the surgery, including the risk of post-operative complications such as infection and pus expenditure. In the context of odontectomy surgery, the selection of the right suturing technique is crucial in ensuring optimal wound healing and minimizing the risk of complications.

Horizontal Mattress Suturing Technique

The horizontal mattress suturing technique is a widely used method in odontectomy surgery. This technique involves placing sutures in a horizontal direction, providing more equitable tension to the tissue. The horizontal mattress technique is known to reduce the risk of swelling and facilitate the healing process. This technique is particularly useful in areas with limited tissue mobility, such as the mandible.

Simple Interrupted Suturing Technique

The simple interrupted suturing technique is another commonly used method in odontectomy surgery. This technique involves placing individual sutures in an interrupted fashion, providing a simple and fast method of closure. However, this technique can cause higher tension at certain points, which has the potential to slow healing.

Research Methodology

This study is a type of non-laboratory experimental conducted on 11 patients undergoing third molars' molar odontectomy. Data was collected from January to February 2020. The wound healing assessment was carried out on the first day and seventh day after surgery by observing the signs of clinically inflammatory. Each sign of inflammation that appears is given a score of 1, and the total score is an indicator of wound healing for each sewing technique. Each patient gets both suturing techniques: horizontal mattress and simple interrupted, allowing a direct comparison between the two methods.

Research Results

The results showed a significant relationship (p <0.05) between the suturing techniques used and wound healing on the first post-odontectomy day. The wound healing score in the horizontal mattress technique is 1,857 ± 0.663, while the simple interrupted technique is 2,286 ± 0.726. This indicates that the horizontal mattress technique has an advantage in wound healing compared to simple interrupted.

Analysis and Discussion

The results of this study suggest that the horizontal mattress suturing technique is more effective than simple interrupted in terms of post-odontectomy wound healing in the mandibular three molars at the Grand Medistra Medan Hospital. This is consistent with previous studies that have shown the benefits of using horizontal mattress suturing techniques in odontectomy surgery.

The horizontal mattress technique provides more equitable tension to the tissue, which can reduce the risk of swelling and facilitate the healing process. This technique is particularly useful in areas with limited tissue mobility, such as the mandible. In contrast, the simple interrupted technique can cause higher tension at certain points, which has the potential to slow healing.

Conclusion

From the results obtained, it can be concluded that the horizontal mattress sewing technique is more effective than simple interrupted in terms of post-odontectomy wound healing in the mandibular three molars at the Grand Medistra Medan Hospital. Therefore, oral surgeons are advised to consider the use of horizontal mattress techniques in the odontectomy procedure to improve the patient's wound healing results. Further research with larger samples and additional variables will be very useful to strengthen this finding and develop better clinical practices in the future.

Recommendations

Based on the results of this study, the following recommendations are made:

Oral surgeons should consider using the horizontal mattress suturing technique in odontectomy surgery to improve wound healing results.
Further research with larger samples and additional variables should be conducted to strengthen the findings of this study and develop better clinical practices in the future.
The use of horizontal mattress suturing techniques should be promoted in dental education and training programs to ensure that oral surgeons are equipped with the necessary skills to perform this technique effectively.

Limitations

This study has several limitations that should be acknowledged. Firstly, the sample size was small, which may limit the generalizability of the findings. Secondly, the study only assessed wound healing on the first day and seventh day after surgery, which may not be representative of the entire healing process. Finally, the study did not control for other variables that may have influenced the results, such as patient age and health status.

Future Research Directions

Future research should aim to build on the findings of this study by conducting larger-scale studies with more diverse samples. Additionally, researchers should explore the use of other suturing techniques, such as the continuous suturing technique, to determine their effectiveness in post-odontectomy wound healing. Furthermore, researchers should investigate the use of biomaterials and biodegradable sutures to improve wound healing outcomes.

Conclusion

In conclusion, this study has demonstrated the effectiveness of the horizontal mattress suturing technique in post-odontectomy wound healing in the mandibular three molars at the Grand Medistra Medan Hospital. The results of this study have important implications for oral surgeons and dental educators, and highlight the need for further research in this area to develop better clinical practices and improve patient outcomes.
Q&A: Horizontal Mattress Suturing Technique for Post-Odontectomy Wound Healing

Introduction

The horizontal mattress suturing technique has been shown to be effective in post-odontectomy wound healing in the mandibular three molars at the Grand Medistra Medan Hospital. However, there are still many questions surrounding the use of this technique. In this article, we will address some of the most frequently asked questions about the horizontal mattress suturing technique.

Q: What is the horizontal mattress suturing technique?

A: The horizontal mattress suturing technique is a widely used method in odontectomy surgery. This technique involves placing sutures in a horizontal direction, providing more equitable tension to the tissue. The horizontal mattress technique is known to reduce the risk of swelling and facilitate the healing process.

Q: What are the benefits of using the horizontal mattress suturing technique?

A: The benefits of using the horizontal mattress suturing technique include:

Reduced risk of swelling
Facilitated healing process
More equitable tension to the tissue
Improved wound healing outcomes

Q: Is the horizontal mattress suturing technique suitable for all patients?

A: The horizontal mattress suturing technique is suitable for most patients, but it may not be suitable for patients with certain medical conditions, such as bleeding disorders or poor wound healing. It is essential to assess each patient's individual needs and medical history before using this technique.

Q: Can the horizontal mattress suturing technique be used in combination with other suturing techniques?

A: Yes, the horizontal mattress suturing technique can be used in combination with other suturing techniques, such as the simple interrupted technique. However, it is essential to use the horizontal mattress technique in conjunction with other techniques that are suitable for the patient's individual needs.

Q: How long does it take to learn the horizontal mattress suturing technique?

A: The time it takes to learn the horizontal mattress suturing technique can vary depending on the individual's level of experience and training. However, with practice and training, most oral surgeons can learn this technique within a few months.

Q: What are the potential complications of using the horizontal mattress suturing technique?

A: The potential complications of using the horizontal mattress suturing technique include:

Infection
Pus expenditure
Swelling
Delayed healing

Q: How can I prevent complications when using the horizontal mattress suturing technique?

A: To prevent complications when using the horizontal mattress suturing technique, it is essential to:

Use sterile equipment and techniques
Follow proper wound care and dressing procedures
Monitor patients closely for signs of infection or complications
Use antibiotics as prescribed by a healthcare professional

Q: Can the horizontal mattress suturing technique be used in emergency situations?

A: Yes, the horizontal mattress suturing technique can be used in emergency situations, such as in cases of bleeding or tissue loss. However, it is essential to use this technique in conjunction with other emergency procedures, such as suturing or stapling.

Q: How can I stay up-to-date with the latest research and developments in the horizontal mattress suturing technique?

A: To stay up-to-date with the latest research and developments in the horizontal mattress suturing technique, it is essential to:

Attend conferences and workshops
Read scientific journals and publications
Participate in online forums and discussions
Stay connected with colleagues and peers in the field

Conclusion

The horizontal mattress suturing technique is a widely used method in odontectomy surgery that has been shown to be effective in post-odontectomy wound healing. However, there are still many questions surrounding the use of this technique. By addressing some of the most frequently asked questions about the horizontal mattress suturing technique, we hope to provide oral surgeons and dental educators with the information they need to make informed decisions about the use of this technique.