Effect of a vertical incision on postoperative swelling after an impacted mandibular third molar extraction: two cases with split-mouth designed magnetic resonance imaging analysis

Ku, Jeong-Kui; Baik, Sang‐Ho; Kim, Jae Young; Huh, Jong-Ki

doi:10.5125/jkaoms.2023.49.2.91

Cited by 2 publications

(1 citation statement)

References 15 publications

(33 reference statements)

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“…This is also consistent with the reposts of other studies such as 13,[29][30][31][32]. In recent MRI study by Jeong-Kui Ku et al also favored the envelope ap design over triangular ap in respect to swelling [33].…”

Section: Discussionsupporting

confidence: 86%

Envelope versus Triangular flap design: A Third Molar Surgery study in Nepal

Thapa,

Upadhyaya,

Chaurasia

et al. 2023

Preprint

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Objectives This study was carried out in Nepal comparing the two most commonly used flap design employed in the removal of impacted 3rd molar in terms of postoperative outcomes- pain, swelling, trismus, alveolar osteitis and wound infection. Materials and method Forty-six patients (age ranged from 17 to 40 years) with bilateral, symmetrical impacted third molars (n = 45) were included in the study. One side impaction was removed using the envelope flap then after a month time other side impaction was removed using the triangular flap. Postoperative outcomes- pain, swelling, trismus, presence of alveolar osteitis and wound infection were compared. Mann-Whitney U test and independent sample T-test were used for data analysis. Result Facial swelling was low in cases of the envelope flap design and it was statistically significant on postoperative day 2nd (P < 0.05). Amount of mouth opening reduction was seen more in cases with the triangular flap with statistically significant (p < 0.05) on postoperative day 14th. The Visual Analog Scale (VAS) score of two flap designs were comparable. There was equal incidence of alveolar osteitis and no cases of wound infection in either flap design. Conclusion The envelope flap design has shown superior postoperative outcomes compared to the triangular flap design regarding the post-operative swelling and mouth-opening reduction. Clinical Relevance: Within the limitation of our study, we recommend the use of envelope flap design in third molar surgery cases.

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Section: Discussionsupporting

confidence: 86%

Envelope versus Triangular flap design: A Third Molar Surgery study in Nepal

Thapa,

Upadhyaya,

Chaurasia

et al. 2023

Preprint

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Comparative assessment of difficulty scales for removal of the third molar of the lower jaw depending on its position

Gudarian,

Nekhanevych,

Kycherenko

et al. 2024

Med. perspekt.

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Retention (delayed eruption) of the third molar is one of the most common pathologies in the outpatient practice of a dentist-surgeon. Such a pathology can very often be complicated by inflammatory diseases, such as pericoronitis, periostitis and other more serious diseases. Therefore, early warning and most gentle removal of the causative tooth determines the professionalism of the dental surgeon. A large number of indexes of difficulty of removal of the third molar have been proposed by different authors, but none of them is considered universal and optimal for different clinical cases. The level of complexity is most clearly characterized by a scale that takes into account not only radiological but also clinical and demographic indicators. Such scales exist in modification or in more recent literary sources. Having chosen the most clear and correct scale, it is possible for the surgeon to clearly assess the entire level of complexity and responsibility for surgical intervention on removing the third molar, thereby obtaining the most effective result, minimizing complications both during the operation and after a while. The purpose of the study: justification of the selection of the difficulty rating scale for the removal of the third molar of the lower jaw, depending on its position. The study analyzed and compared 18 basic scales of complexity that are most often used by surgeons before removing the impacted third molar of the lower jaw. Data sources that were used for the search were taken from Medline, PubMed, Google Scholar, Minerva library databases. Each of the difficulty scales was presented and translated into Ukrainian for convenient use in the practice of a dental surgeon. A general table was provided where a comparative analysis of the difficulty scales was made according to thirty parameters. It is shown that the Cosme Gay-Escoda C. scale has the most indicators for preoperative assessment of complexity. There are many difficulty scales for preoperative assessment for the removal of impacted third molars of the lower jaw. Some of them have radiological evaluation criteria, some have clinical criteria, and only the Pernumbuco index (2017), Zhang X. (2019), and Cosme Gay-Escoda C. (2022) scales also have demographic indicators. However, the latter has the largest number of criteria, according to which the difficulty of removing the third molar of the lower jaw is calculated.

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Effect of a vertical incision on postoperative swelling after an impacted mandibular third molar extraction: two cases with split-mouth designed magnetic resonance imaging analysis

Cited by 2 publications

References 15 publications

Envelope versus Triangular flap design: A Third Molar Surgery study in Nepal

Envelope versus Triangular flap design: A Third Molar Surgery study in Nepal

Comparative assessment of difficulty scales for removal of the third molar of the lower jaw depending on its position

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