Marginal flap versus paramarginal flap in impacted third molar surgery: A prospective study

Suárez‐Cunqueiro, María Mercedes; Gutwald, Ralf; Reichman, Jan; Otero-Cepeda, Xose Luis; Schmelzeisen, Rainer

doi:10.1067/moe.2003.84

Cited by 92 publications

(76 citation statements)

References 25 publications

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“…Advanced patient age (6,9), horizontal or mesial angulation of the L3M (2,6,(10)(11)(12), and the presence of plaque on the distal surface of the L2M (13,14) are related with a periodontal defect on the distal surface of L2M following surgery of L3M. However, in the studies found, the flap design had no relation with the presence of this defect (15)(16)(17). Dodson (6) recommends bone regeneration techniques when the L2M distal attachment level is greater than 3 mm.…”

Section: Introductionmentioning

confidence: 84%

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Distal probing depth and attachment level of lower second molars following surgical extraction of lower third molars: A literature review

Aloy-Prósper

García-Mira²,

Larrazabal-Morón³

et al. 2010

Med Oral

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A review of the literature is made to evaluate factors that influence probing depth and attachment level on the distal aspect of the lower second molar (L2M) following extraction of a lower third molar (L3M). The PubMed database was searched for studies published between 1997 and March 2009 using the following keywords: mandibular third molar, distal periodontal defect, distal probing depth, distal attachment level, flap design. Randomized prospective studies, with a minimum follow-up of three months for which the full text could be obtained, and that indicated the attachment level and/or probing depth on the distal surface of the L2M in both the preoperative and postoperative periods were included. In the studies obtained, flap design had no influence on distal probing depth or distal attachment level of the L2M following extraction of an L3M. Curettage of the distal radicular surface of the L2M, together with oral hygiene control by the dentist, reduced probing depth values. Various authors recommend bone regeneration techniques in patients with a distal periodontal defect prior to extraction. The placing of membranes (resorbable or nonresorbable) is not justified; however, the use of demineralized bone powder or platelet-rich plasma gel reduces the distal probing depth and attachment level of the L2M.

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Section: Introductionmentioning

confidence: 84%

“…Suarez-Cunqueiro et al (16) carried out bilateral surgical extraction of the L3M in 27 patients. They designed a bayonet flap for one side (Fig.…”

Section: Flap Designmentioning

confidence: 99%

Distal probing depth and attachment level of lower second molars following surgical extraction of lower third molars: A literature review

Aloy-Prósper

García-Mira²,

Larrazabal-Morón³

et al. 2010

Med Oral

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“…Kugelberg et al, found that deeper periodontal pocket depth after third molar surgery was 3 times more frequent in people who were older than 25 years of age. They showed that the process of periodontal healing after the surgery was correlated with age [15][16][17][18].…”

Section: Resultsmentioning

confidence: 99%

To Compare Standard Incision and Comma Shaped Incision and Its Influence on Post–Operative Complications in Surgical Removal of Impacted Third Molars

Sarumathi²,

Veerabahu³

et al. 2013

JCDR

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Objectives: To compare standard incision and comma shaped incision and its influence on post operative complications in surgical removal of impacted third molar.Methods: This was a cross-over trial. Twenty subjects with bilateral impacted mandibular third molars were recruited for the study. A standard incision was made on one side of the lower jaw and a comma incision was made on the other side to reflect the mucoperiosteal flap, after which the common steps for removal of impacted third molars were followed. The postoperative parameters were recorded immediately on the post -operative days 1, 3 and 7 respectively. Results:The pain scores which were recorded on days 1, 3 and 7 in the surgical area with comma incisions were found to be significantly lower as compared to the pain scores in the area where standard incisions were made. Similarly, swelling was lesser with comma incisions than with standard incisions. There was a significant difference in mouth opening between the two incisions on day 1, but no significance was seen on days 3 and 7. All these findings showed significant statistical differences. Conclusion:The results of the study showed that the new incision design was preferable over the conventional method, considering the lesser degree of post-operative complications. The cross-over design of the study greatly enhanced its statistical power and validity. InTROduCTIOnThird molars are present in 90% of the population with 33% having at least one impacted third molar. Thus, surgical removal of impacted third molar is the most frequently performed procedure [1]. Impacted lower third molar extraction produces a series of side effects, which include pain, inflammation, and trismus [2].Flap design is one important factor which influences the severity of these complications [3]. Flap design is important, not only for allowing optimal visibility and access to the impacted tooth, but also for subsequent healing of the surgically created defect. With so many objectives, the actual design of a flap sometimes becomes a compromise between peri-and post-operative considerations [4].The aim of this study was to compare two different flap designs in extraction of impacted mandibular third molars, by assessing their post-operative complications. In this study, pain, swelling, mouth opening and pocket depth were selected as parameters for comparing the two flap designs. MATeRIAl And MeThOdSThis study was a hospital based, experimental study with a "cross-over" design, which was done on thirty patients. Patients with bilateral, completely impacted, mandibular third molars or partially erupted third molars, without any symptoms of pain or swelling, who had good oral hygiene, were included in the study. Dentistry SectionPatients who were on any medications, lady patients who were pregnant, patients with severe pericoronitis, patients with soft tissue impaction and patients who were medically compromised were excluded from study.Thirty patients who satisfied the inclusion criteria were enrolled in the study aft...

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“…2 One important factor that influences the severity of these complications is flap design. 3 It is important for allowing optimal visibility and access as well as for sub sequent healing of the surgically created defect. Hence, design of a flap becomes a compromise between peri operative and postoperative considerations.…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar

Rabi

Pmm

et al. 2017

The Journal of Contemporary Dental Practice

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Aim:The aim of this study is to compare triangular and envelope flap designs and the postoperative outcome in the surgical removal of impacted mandibular third molar. Materials and methods:A total of 50 participants were assessed clinically and were divided randomly into two groups. Group I (participants operated by triangular flap) and group II (participants operated by envelope flap), with 25 participants each between the age group of 20 and 30 years. Patient satisfaction was assessed subjectively using a graded scale from very satisfied to very unsatisfied. The degree of pain was recorded for 7 days with reference to predefined values on visual analog scale (VAS). Trismus was evaluated on the day 3, day 5, and day 7 of the postoperative period in millimeters. Quantitative data were analyzed by unpaired t-test and qualitative data were by Fischer's exact test. Results:The mean overall age is 25.5 years. There was no statistically significant difference between the study groups with respect to age. There was no significant association between the patient satisfaction and flap type (p = 0.684). A significant difference between the study groups on 4th, 5th, and 6th days with respect to pain was observed, wherein fewer subjects operated with triangular flap reported pain. A highly significant difference in mouth opening was observed, with triangular flap group participants having a higher mouth opening than envelope flap subjects on day 7. Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Conclusion:The present study indicated that participants operated by triangular flap had a better mouth opening postoperatively compared with envelope flap participants, whereas there were no significant differences in patient satisfaction and pain scores at the end of the 7th day after third molar surgery.Clinical significance: Flap design is a significant factor in the surgical removal of impacted third molar, and it influences the severity of complications. Furthermore, it is important for allowing optimal visibility and access to the impacted tooth and also for subsequent healing of the surgically created defect.

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Marginal flap versus paramarginal flap in impacted third molar surgery: A prospective study

Cited by 92 publications

References 25 publications

Distal probing depth and attachment level of lower second molars following surgical extraction of lower third molars: A literature review

Distal probing depth and attachment level of lower second molars following surgical extraction of lower third molars: A literature review

To Compare Standard Incision and Comma Shaped Incision and Its Influence on Post–Operative Complications in Surgical Removal of Impacted Third Molars

Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar

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