Objective: The purpose of current study was to have comparison between the postoperative outcomes of triangular (wards) flap versus an envelope flap after surgical extraction of impacted mandibular third molar. Methods: Current study was a double-blinded randomized controlled trial conducted at the Department of Oral & Maxillofacial surgery, Fatima Memorial Hospital, Lahore. Sixty patients were randomly recruited in two groups with random number table. Both groups consisted of 30 patients each. Among the patients of Group A, envelope flap was used for surgical access whereas patients of Group B received triangular flap for surgical access. Both Groups were followed on 2nd and 7th day postoperatively for pain status and trismus. Results: Mean±SD of pain score at postoperative day 7th for group A was 23.47±6.75 and for group B it was 24.03±10.5 which was statistically insignificant (p>0.05). The difficulty index was found to have statistically significant (P<0.05) on 7th postoperative day pain. On the 7th postoperative day group A (envelope flap) had a mouth opening mean of 41.03mm and group B (triangular flap) which had a mean of 40.47mm which was statistically insignificant (p>0.05). The difficulty index was found to have statistically significant effect (P<0.05) on 7th postoperative day Conclusion: The study concluded that there was no statistically significant difference between the two flap designs on postoperative pain and trismus while the difficulty of impaction was found to have statistically significant effect on postoperative pain and trismus Keywords: envelope flap, triangular flap, trismus
Objective: To compare the frequency of dry sockets in patients receiving acetaminophen versus ibuprofen for simple dental extraction of mandibular molars. Methods: It was double-blinded randomized controlled trial study conducted at the Oral & Maxillofacial Surgery Department at the Fatima Memorial Hospital, Lahore Pakistan from January 2018 to July 2018. One hundred patients were randomized using random number table into two groups each consisting of 50 patients. Group A received acetaminophen whereas group B received ibuprofen thirty minutes preoperatively and every eight hours postoperatively for two days. Both groups were followed for 48-72 hours after extraction for pain status and clot absence. Results: In group A moderate pain was reported by 80% of patients whereas 18% faced severe pain. In group B 62% of patients had moderate pain and 36% had severe pain the difference was statistically insignificant(P>0.05). The clot was absent in 8% of patients in group A and 30% in group B which was statistically significant (P<0.05). Conclusion: The study concluded that ibuprofen used for analgesia increases the occurrence of dry socket as compared to acetaminophen. Keywords: Acetaminophen, Alveolar Osteitis, Alveolitis, Dry socket
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