Comparison of the Efficacy of 4-0 Polydioxanone and 4-0 Polyglactin 910 Suture Material in Mandibular 3rd Molar Surgery – A Split-Mouth Double-Blinded Randomized Controlled Study

Dharaneesh Sivakumar Kalaiselvi; Deepak Abraham Pandyan; Satheesh Chandran; Deenadayalan Narasimman; George Samyo Stephensonr; Balamurugan Rajendran

doi:10.17126/Joralres.2026.015

Dharaneesh Sivakumar Kalaiselvi Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, India.
Deepak Abraham Pandyan Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, India. http://orcid.org/0009-0006-3797-5743
Satheesh Chandran Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, India. http://orcid.org/0009-0008-9549-7270
Deenadayalan Narasimman Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, India. https://orcid.org/0009-0003-6567-6108
George Samyo Stephensonr Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, India. https://orcid.org/0009-0008-0778-5476
Balamurugan Rajendran Department of Oral and Maxillofacial Surgery, RYA MADRAS COSMO Foundation Hospital, Chennai, India. https://orcid.org/0000-0002-9288-6448

DOI: https://doi.org/10.17126/Joralres.2026.015

Keywords: Impacted tooth, Polydioxanone, Polyglactin 910, Sutures, Wound healing

Abstract

Aim: The study was to compare the clinical efficacy of 4-0 polydioxanone and 4-0 polyglactin 910 suture materials on postoperative outcomes after mandibular third molar surgery.
Methods: This split-mouth prospective study included 100 patients (200 surgical sites) requiring bilateral mandibular third molar extraction. The patients were randomly segregated into 2 groups. Group I included 100 patients who were sutured with 4-0 Polydioxanone, and group II included 100 patients who were sutured with 4-0 Polyglactin 910. All the participants were assessed for pain, facial swelling, mouth opening, and wound healing on the 1st, 3rd, and 7th postoperative days.
Results: The mean wound closure time in group I was 2.40 minutes (p<0.05) and 4.16 minutes in group II. Pain, swelling, mouth opening and wound healing in group I (p<0.05) were statistically significant on all three postoperative days when compared to group II.
Conclusion: Polydioxanone sutures provide superior clinical outcomes compared to polyglactin 910 in mandibular third molar surgery, particularly in terms of pain, edema, oral function and early healing.

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