Comparison of two different flap designs for bilateral impacted mandibular third molar surgery

Menziletoğlu, Dilek; Güler, Arif Yiğit; Baştürk, Funda; Işık, Bozkurt Kubilay; Erdur, Emire Aybüke

doi:10.1016/j.jormas.2019.08.006

Cited by 14 publications

(11 citation statements)

References 15 publications

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“…There is conflicting evidence that surgical technique may influence the development of AO—Abu‐Mostafa 51 noted that root separation significantly increased AO incidence. Mohajerani 9 noted a reduction in AO with modified triangular flap, in contrast to 4 other papers 10,67‐69 which found no significant difference. Two papers 25,37 noted a significant association between difficulty of extraction and AO.…”

Section: Discussionmentioning

confidence: 81%

“…Both experimental flap designs showed a significant reduction in AO incidence. Menziletoglu 67 compared buccal and lingual flaps; however, no cases of AO were noted. Goldsmith 68 conducted an RCT comparing pedicle and buccal flaps and found no significant difference in AO incidence; however, a higher incidence of AO was noted in the buccal flap group.…”

Section: Resultsmentioning

confidence: 99%

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Aetiology, Prevention and Management of Alveolar Osteitis—A Scoping Review

Ghosh

Aggarwal

Moore

2021

J of Oral Rehabilitation

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Background Alveolar osteitis (AO) is a poorly understood, common, painful complication following exodontia. It is sometimes managed by inappropriate prescription of antibiotics which contributes to the global threat of antimicrobial resistance. Use of intra‐alveolar chlorhexidine also presents a serious risk of anaphylaxis to the patient. Objective This scoping review aims to investigate the aetiology, prevention and management of AO and highlight the extent of inappropriate prescribing and intra‐alveolar chlorhexidine use. Design A scoping review was undertaken using the PRISMA guidelines. Medline, Ovid and Pubmed were searched between 2010 and 2020, from which 63 studies were selected for review that related to the aetiology, prevention or management of AO. Data were analysed for frequency of studies reporting information on risk factors for aetiology, prevention strategies and management including inappropriate management using antibiotic prescribing and intra‐alveolar chlorhexidine. Results Impaired immune response, surgical technique and age were identified as significant factors in the development of AO, while there is conflicting evidence regarding the effects of smoking and gender. With regard to prevention, the use of prophylactic antibiotics is not supported within the literature. Saline irrigation and eugenol pastes used preventively have been shown to be cheap and effective alternatives to chlorhexidine with no adverse effects. Hyaluronic acid and low‐level laser therapies showed a significant reduction in pain and soft‐tissue inflammation in the management of AO compared to Alveogyl. Conclusions Further understanding of the pathophysiology of AO is needed, in addition to large high‐quality RCTs or long‐term observational studies into the aetiology, prevention, and management of AO to produce up‐to‐date evidence‐based clinical guidelines. Clinicians should also be mindful of their contribution to growing antimicrobial resistance and avoid inappropriate prescribing of antibiotics. Saline should replace chlorhexidine as the intra‐alveolar irrigant of choice.

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Section: Discussionmentioning

confidence: 81%

Section: Resultsmentioning

confidence: 99%

Aetiology, Prevention and Management of Alveolar Osteitis—A Scoping Review

Ghosh

Aggarwal

Moore

2021

J of Oral Rehabilitation

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“…Moreover, flap designs influences the severity of postoperative complications [19] and subsequent healing of surgically created defect [20]. Many studies therefore, have reported novel methods of flap designs other than commonly used envelope, two-sided and three sided flaps [19][20][21]. However, there are remaining information gaps on impact of root morphology of mandibular third molars on flap designs.…”

Section: Pattern Of Root Morphology and Its Association With Surgical Processesmentioning

confidence: 99%

Patterns of Root Morphology of Mandibular Third Molars and Their Clinical Implications in a Cohort of Sri Lankan Patients

Jayasuriya¹,

Perera²,

Ratnapreya³

et al. 2021

IJCOMS

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Background: Mandibular third molar surgeries garnered recognition as one of the common treatment procedures provided by Oral & Maxillofacial practices across the globe. Mandibular third molars are not only impacted, often giving rise to bothering issues to patients ranging from pain to difficulty in opening mouth but create challenges in their surgical removal. Postoperative complications of those surgeries such as pain, swelling, trismus and alveolar osteitis (dry socket) could be prevented and controlled by meticulous preoperative assessment of tooth-related and patient-related factors. Pattern of root morphology could be one important tooth-related factor connected to difficulties and subsequent postoperative complications of mandibular third molar surgeries. Aim: Against this backdrop, the aim of this study was to explore the patterns of root morphology of mandibular third molars and to elucidate their associations with selected attributes of the surgeries, self-reported preoperative pain and selected postoperative complications among a cohort of Sri Lankan patients. Materials & Methods: A hospital based, descriptive cross-sectional study was conducted among 715 patients (represented wider age range from adolescents to older adults) who underwent surgical removal of mandibular third molars at the

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“…Menziletoglu, Guler, Basturk, Isik, and Erdur (2019) compared postoperative morbidity between two flap designs: the buccal‐based triangular flap and the lingual‐based triangular flap (Figure 7). There was a statistically significant difference between the two groups in both pain and swelling at both days 1 and 7, postoperatively.…”

Section: Complicationsmentioning

confidence: 99%

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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Comparison of two different flap designs for bilateral impacted mandibular third molar surgery

Cited by 14 publications

References 15 publications

Aetiology, Prevention and Management of Alveolar Osteitis—A Scoping Review

Aetiology, Prevention and Management of Alveolar Osteitis—A Scoping Review

Patterns of Root Morphology of Mandibular Third Molars and Their Clinical Implications in a Cohort of Sri Lankan Patients

Comprehensive review of lower third molar management: A guide for improved informed consent

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