Discussion
swelling, edema, pain, tooth, trismus, trauma
EDEMA, SECONDARY, TRISMUS, COMPLICATIONS
The aim of this study was to evaluate the course of signs and symptoms of infla–mation—pain, swelling and trismus, in addition to soft tissue healing in two types of closure techniques: primary, secondary after lower third molar surgery. Flap design appears to be not associated with periodontal complications [The reduction of postoperative discomfort after removal of third molars represents a challenge. Anti-inflammatory agents have been used preemptively to reduce the inflammatory signs and symptoms resulting from this surgical procedure [We used a visual analogue scale (VAS) to assess pain severity. Thus, the side where the secondary closure was performed had the lowest pain scores, with a statistically significant difference in the 2, 8, 24, 48-hour evaluations and in the 7-day evaluation. These findings are in agreement with the findings of Pasqualini et al. [A systematic review published by Azab et al. [In this clinical trial, measurements of the edema level were performed in the preoperative period, in the immediate postoperative period, after 72 hours and on the seventh day after tooth extraction. Preoperative and immediate postoperative measurements were similar. This is due to the split-mouth design, in which each patient is their own control, and because only individuals with third molars in similar positions were included, aiming at similar surgical trauma between the experimental and control sides. In line with the findings by Pasqualini et al. [A systematic review by Carrasco-Labra et al. [Several methods have been suggested for performing partial closure after tooth extraction, from not performing the suture [This study showed a significant reduction in pain, edema and trismus in the group in which the relaxing incision was not sutured compared to hermetically closed sockets, and these findings agree with the findings of Balamurugan and Zachariah [A split-mouth design was selected because the patients act as their own controls. Which increases the power of the study because of the removal of interpatient variability [