Abstract

This narrative review aims to describe and analyze the clinical and biological aspects of a sutureless extraction technique for maxillary third molars, with particular focus on tissue repair, postoperative inflammatory response, and clot stabilization. The analysis highlights the role of 0.12% chlorhexidine digluconate as an adjunctive agent in promoting hemostasis and secondary intention healing. Anatomical and physiological factors influencing postoperative outcomes are considered, especially the implications of avoiding excessive curettage in sockets without pathological tissue. Evidence from the literature suggests that, when appropriately applied, sutureless extraction may offer benefits such as reduced postoperative inflammation, favorable healing due to the medullary nature of the maxillary bone, and effective clot stabilization. Further clinical studies are needed to confirm the safety and effectiveness of this technique and to optimize postoperative protocols.

Keywords

tooth extraction, oral surgery, sutures, molar, third