J Korean Assoc Oral Maxillofac Surg.  2015 Feb;41(1):26-29. 10.5125/jkaoms.2015.41.1.26.

Complication rates in patients using absorbable collagen sponges in third molar extraction sockets: a retrospective study

• Cho H
• Jung HD
• Kim BJ
• Kim CH
• Jung YS

• KMID: 2328650
• DOI: http://doi.org/10.5125/jkaoms.2015.41.1.26

Abstract

OBJECTIVES
The purpose of this study is to retrospectively evaluate the postoperative complication rates for absorbable type-I collagen sponge (Ateloplug; Bioland) use in third molar extraction.
MATERIALS AND METHODS
From January to August 2013, 2,697 total patients undergoing third molar extraction and type-I collagen sponge application in the Department of Oral and Maxillofacial Surgery at Yonsei University Dental Hospital (1,163 patients) and Dong-A University Hospital (1,534 patients) were evaluated in a retrospective study using their operation and medical records.
RESULTS
A total of 3,869 third molars in 2,697 patients were extracted and the extraction sockets packed with type-I collagen sponges to prevent postoperative complications. As a result, the overall complication rate was 4.52%, with 3.00% experiencing surgical site infection (SSI), 1.14% showing alveolar osteitis, and 0.39% experiencing hematoma. Of the total number of complications, SSI accounted for more than a half at 66.29%.
CONCLUSION
Compared to previous studies, this study showed a relatively low incidence of complications. The use of type-I collagen sponges is recommended for the prevention of complications after third molar extraction.

Keyword

Third molar; Tooth extraction; Postoperative complications; Collagen sponge

MeSH Terms

Collagen*
Dry Socket
Hematoma
Humans
Incidence
Medical Records
Molar, Third*
Porifera*
Postoperative Complications
Retrospective Studies*
Surgery, Oral
Tooth Extraction
Collagen

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