A comparative study of treatment outcomes of intraoral drainage with and without penrose drain due to odontogenic space infection in vestibular space, perimandibular space, and canine space
Main Article Content
Abstract
The objective of the study was to compare the treatment outcomes after intraoral drainage with and without penrose drain due to odontogenic space infection in vestibular space,perimandibular space, and canine space. The study was performed in 60 patients with odontogenic space infection (vestibular space, perimandibular space, and canine space) which were divided into 2 groups. In the control group, the intraoral drainage was done using a penrose drain.In the test group, the intraoral drainage was performed without use of a penrose drain. The post-operative pain, swelling, trismus, and other complications were evaluated on 2nd and 7th post-operative days.
For the results, the test group showed less pain as compared to the control group, with the pain variable was statistically different on 2nd postoperative day (p < 0.05). However, swelling and trismus were not statistically different. For conclusion, treatment outcomes after intraoral drainage between 2 groups showed no significant difference. However, without drain, the patients had less postoperative pain on 2nd postoperative day.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The opinions and content expressed in the articles are solely those of the individual authors and do not necessarily reflect the views of the journal or the authors’ affiliated institutions. Authors are fully responsible for the accuracy and correctness of their work.
Any reuse, reproduction, or redistribution of the articles, content, data, or images in other forms requires prior written permission from the Thai Journal of Oral and Maxillofacial Surgery
References
Sato FRL, Hajala FAC, Filho FWVF, Moreira RWF, de Moraes M. Eight-year retrospective study of odontogenic origin infections in a postgraduation program on oral and maxillofacial surgery. J Oral Maxillofac Surg. 2009;67:1092-7.
Haug RH, Hoffman MJ, Indresano AT. An epidemiologic and anatomic survey of odontogenic infections. J Oral Maxillofac Surg. 1991;49:976-80.
Flynn TR, Shanti RM, Levi MH, Adamo AK, Kraut RA, Trieger N. Severe odontogenic infections, part 1: prospective report. J Oral Maxillofac Surg. 2006;64:1093-103.
Flynn TR. Principles of management of maxillofacial infections. In: Miloro M, Ghali GE, Larsen PE, Waite PD, editors. Peterson’s principles of oral and maxillofacial surgery. 3rd ed. Shelton: People’s Medical Publishing House; 2011. p.841-59.
Flynn TR, Hoekstra CW, Lawrence FR. The use of drains in oral and maxillofacial surgery: a review and a new approach. J Oral Maxillofac Surg. 1983;41:508-11.
Magee C, Rodeheaver GT, Golden GT, Fox J, Edgerton MT, Edlich RF. Potentiation of wound infection by surgical drains. Am J Surg. 1976;131:547-9.
Chukwuneke FN, Oji C, Saheeb DB. A comparative study of the effect of using a rubber drain on postoperative discomfort following lower third molar surgery. Int J Oral Maxillofac Surg. 2008;37:341-4.
Kateeb E. Gender-specific oral health attitudes and behaviour among dental students in Palestine. East Mediterr Heal J. 2010;16:329-33.
Kawamura M, Wright FAC, Sasahara H, Yamasaki Y, Suh S,Iwamoto Y. An analytical study on gender differences in self-reported oral health care and problems of Japanese employees. J Occup Health. 1999;41:104-11.
Mathew GC, Ranganathan LK, Gandhi S, Jacob ME, Singh I, Solanki M, et al. Odontogenic maxillofacial space infections at a tertiary care center in North India: a five-year retrospective study. Int J Infect Dis. 2012;16:e296-302.
Jansisyanont P, Kasemsai W, Bamroong P. Factors related to the treatment outcome of maxillofacial fascia space infection. J Oral Maxillofac Surg Med Pathol. 2015;27:458-64.
Wang J, Ahani A, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg. 2005;34:646-9.
Huskisson EC. Measurement of pain. Lancet. 1974;2:1127-31.
Garcia Garcia A, Gude Sampedro F, Gandara Rey J, Gallas Torreira M. Trismus and pain after removal of impacted lower third molars. J Oral Maxillofac Surg. 1997;55:1223-6.
Ferreira Cerqueira PR, Do Egito Vasconcelos BC, Bessa- Nogueira RV. Comparative study of the effect of a tube drain in impacted lower third molar surgery. J Oral Maxillofac Surg. 2004;62:57-61
Kumar B, Bhate K, Dolas RS, Santhosh Kumar SN, Waknis P. Comparative evaluation of immediate post-operative sequelae after surgical removal of impacted mandibular third molar with or without tube drain - Split-mouth study. J Clin Diagnostic Res. 2016;10:ZC46-9.
Schultze-Mosgau S, Schmelzeisen R, Frölich JC, Schmele H. Use of ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars. J Oral Maxillofac Surg. 1995;53:2-7.
Amin MM, Laskin DM. Prophylactic use of indomethacin for prevention of postsurgical complications after removal of impacted third molars. Oral Surgery, Oral Med Oral Pathol. 1983;55:448-51.
Llewelyn J, Ryan M, Santosh C. The use of magnetic resonance imaging to assess swelling after the removal of third molar teeth. Br J Oral Maxillofac Surg. 1996;34:419-23.
Siegert R. Ultrasonography of inflammatory soft tissue swellings of the head and neck. J Oral Maxillofac Surg. 1987;45:842-6.
Van Gool AV, Ten Bosch JJ, Boering G. A photographic method of assessing swelling following third molar removal. Int J Oral Surg. 1975;4:121-9.
Holland CS. The development of a method of assessing swelling following third molar surgery. Br J Oral Surg.1979;17:104-14.
Brabander EC, Cattaneo G. The effect of surgical drain together with a secondary closure technique on post-operative trismus, swelling and pain after mandibular third molar surgery. Int J Oral Maxillofac Surg. 1988;17:119-21.