Authors : Dr. Israel Nathaneal; Hemamalini Sureshkumar; Dr. R. Riaz; Dr. Lokesh; Dr. Balakrishna R. N.; Dr. Sri Jeya Sooriyaa V. S.; Dr. Marshal Kennedy K. J.

Volume/Issue : Volume 11 - 2026, Issue 3 - March

Google Scholar : https://tinyurl.com/nuy9rsz8

Scribd : https://tinyurl.com/yrtxkt9h

DOI : https://doi.org/10.38124/ijisrt/26mar1900

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Aim: To compare wound healing following third molar extraction using conventional 3-0 silk sutures and 3-0 silk sutures coated with 0.2% chlorhexidine gel.  Materials and methods: It is randomized, double-blinded, parallel-group clinical trial included 54 healthy patients aged between 20–40 years undergoing surgical removal of mandibular third molars. Participants were randomly allocated into two groups: Group A 0.2% chlorhexidine gel -coated 3-0 silk sutures and Group B 3-0 silk sutures. Wound healing was assessed using Landry’s wound healing index on postoperative days 1, 3, and 7. Post operative pain and swelling were evaluated as secondary outcomes.  Results: Group ‘A’, demonstrated superior wound healing scores compared to Group ‘B’, at all assessment intervals. The chlorhexidine-coated sutures showed better early healing response and improved tissue adaptation.  Conclusion: Silk sutures coated with 0.2% chlorhexidine gel enhance postoperative wound healing following third molar surgery. Their use may be recommended as an effective alternative to conventional uncoated silk sutures in oral surgical procedures, given the factual data of preexisting oral microbial flora.

Keywords : Chlorhexidine, Silk Suture, Wound Healing, Third Molar Surgery, Antimicrobial Sutures, Mandible, Incision, PostOperative Healing, Impaction, Prognosis, Oral Surgery.

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