Effect of tube drainage compared with conventional suturing on postoperative discomfort after extraction of impacted mandibular third molars

The aim of this prospective randomised study was to assess the effects of tube drainage on postoperative discomfort after the extraction of impacted mandibular third molars. We studied 40 patients(11 men and 29 women) 18 years or older (mean(SD) 21(3), range 18-29) who required extraction of mandibular third molars. We used a randomised crossover design by which if a drain was inserted on one side, then the other side was managed with out a drain on a later occasion. Pain, swelling, and mouth opening were evaluated after 48h and 7 days postoperatively in both groups. Facial swelling(p = 0.001), pain p = 0.001), and trismus(p = 0.001) were significantly less common in the drained group compared with those not drained. We conclude that the use a tube drain is of benefit in minimising postoperative swelling, pain, and trismus after extraction of mandibular third molars. (C) 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.