Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Complication rates in patients using absorbable collagen sponges in third molar extraction sockets: a retrospective study

  • Cho, Hoon (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Jung, Hwi-Dong (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Kim, Bok-Joo (Department of Oral and Maxillofacial Surgery, Dong-A University School of Medicine) ;
  • Kim, Chul-Hoon (Department of Oral and Maxillofacial Surgery, Dong-A University School of Medicine) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry)
  • Received : 2014.09.06
  • Accepted : 2014.11.17
  • Published : 2015.02.28
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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 post-operative 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.

Keywords

References

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