Periodontal evaluation of two mucoperiosteal flaps used in removing impacted mandibular third molars

Periodontal Healing after Lower Third Molars Extraction: A Clinical Evaluation of Different Flap Designs

“…Technique MARG particularly showed a smaller variation (0.05 mm) between T0 and T3, compared to the other flap designs. Similar PPD variations were reported by other authors [22], confirming a general post-operative PDD increase, ranging from 0.02 to 3.33 mm, within 2 weeks of follow-up, even though different flap designs were compared. Arta et al [24] presented values of PPD of 1.65 mm at baseline and at 2 weeks for 3-cornered flap, 1.73 mm at baseline and 1.75 mm at 2 weeks for Szmyd flap.…”

“…On the other hand, some studies in literature [4,6,12,[22][23][24] declared no relevant influence of specific flap designs on periodontal health of the adjacent second molar after the extraction of impacted third molar. Nevertheless, it is difficult to generalize these considerations because of different short and long-term follow-ups assessed.…”

“…were recorded for PPD of first and second molars in case of envelope flap compared to the triangular one. Stephens et al [22] analyzed envelope and modified envelope flaps, finding no significant differences between them pre-operatively and after 12 weeks; an improvement of probing depth on three surfaces of second molars after 3 months was also reported. Quee et al [27] showed greater values on the distal surfaces at 6 months post-operatively.…”

Periodontal Healing after Lower Third Molars Extraction: A Clinical Evaluation of Different Flap Designs

“…Technique MARG particularly showed a smaller variation (0.05 mm) between T0 and T3, compared to the other flap designs. Similar PPD variations were reported by other authors [22], confirming a general post-operative PDD increase, ranging from 0.02 to 3.33 mm, within 2 weeks of follow-up, even though different flap designs were compared. Arta et al [24] presented values of PPD of 1.65 mm at baseline and at 2 weeks for 3-cornered flap, 1.73 mm at baseline and 1.75 mm at 2 weeks for Szmyd flap.…”

“…On the other hand, some studies in literature [4,6,12,[22][23][24] declared no relevant influence of specific flap designs on periodontal health of the adjacent second molar after the extraction of impacted third molar. Nevertheless, it is difficult to generalize these considerations because of different short and long-term follow-ups assessed.…”

“…were recorded for PPD of first and second molars in case of envelope flap compared to the triangular one. Stephens et al [22] analyzed envelope and modified envelope flaps, finding no significant differences between them pre-operatively and after 12 weeks; an improvement of probing depth on three surfaces of second molars after 3 months was also reported. Quee et al [27] showed greater values on the distal surfaces at 6 months post-operatively.…”

Impact of Suturing Techniques on the Periodontal Health Status of Mandibular Second Molar After Extr

“…In statistical comparisons of the present study ,closed anchor suture & anchor techniques provided a better spontaneous periodontal healing of the second molar without any periodontal treatment. There is only one study documented the effect of those 2 suturing techniques (simple loop & anchor) in third molar removal surgery and this study showed that the anchor suture technique gave better results of reducing the amount of PPD and CAL of the distal surface of M2 after surgical removal of fully impacted M3 and this study recommended performing necessary furthermore comprehensive studies about this subject (26) .Stephens et al (27) reported an improvement in PPD after 3 months without documentation of the 6-months results. On the other hand , in a recent clinical study , the measurements of PPD ,CAL, and BL (bone level) were found to be greater at 6 months after procedure compared to 3 months , suggesting that the periodontal health of second molars tends to deteriorate with time ,therefore ,it is important to perform clinical examination at 6 months to enable sufficient time for post-extraction hard and soft tissue healing to have occurred.…”

Expandable Micro-motor Bur, design of a new device for least invasive extraction of broken teeth roots

“…Consequently, such invasive surgeries are accompanied with post-operative maladies as pain, swelling, trismus, infection, prolonged bleeding, sinus exposure, nerve injury and innervations disorders [13-16,18]. However, the extent of such maladies depend on a number of factors such as the duration of the operation, difficulty of the surgery, the magnitude of the osteotomy/mucoperiosteal flap [7,8], the lack of oral hygiene and the experience of the surgeon [6,19-25]. …”

Periodontal Healing after Lower Third Molars Extraction: A Clinical Evaluation of Different Flap Designs

“…Technique MARG particularly showed a smaller variation (0.05 mm) between T0 and T3, compared to the other flap designs. Similar PPD variations were reported by other authors [22], confirming a general post-operative PDD increase, ranging from 0.02 to 3.33 mm, within 2 weeks of follow-up, even though different flap designs were compared. Arta et al [24] presented values of PPD of 1.65 mm at baseline and at 2 weeks for 3-cornered flap, 1.73 mm at baseline and 1.75 mm at 2 weeks for Szmyd flap.…”

“…On the other hand, some studies in literature [4,6,12,[22][23][24] declared no relevant influence of specific flap designs on periodontal health of the adjacent second molar after the extraction of impacted third molar. Nevertheless, it is difficult to generalize these considerations because of different short and long-term follow-ups assessed.…”

“…were recorded for PPD of first and second molars in case of envelope flap compared to the triangular one. Stephens et al [22] analyzed envelope and modified envelope flaps, finding no significant differences between them pre-operatively and after 12 weeks; an improvement of probing depth on three surfaces of second molars after 3 months was also reported. Quee et al [27] showed greater values on the distal surfaces at 6 months post-operatively.…”

Impact of Suturing Techniques on the Periodontal Health Status of Mandibular Second Molar After Extr

“…In statistical comparisons of the present study ,closed anchor suture & anchor techniques provided a better spontaneous periodontal healing of the second molar without any periodontal treatment. There is only one study documented the effect of those 2 suturing techniques (simple loop & anchor) in third molar removal surgery and this study showed that the anchor suture technique gave better results of reducing the amount of PPD and CAL of the distal surface of M2 after surgical removal of fully impacted M3 and this study recommended performing necessary furthermore comprehensive studies about this subject (26) .Stephens et al (27) reported an improvement in PPD after 3 months without documentation of the 6-months results. On the other hand , in a recent clinical study , the measurements of PPD ,CAL, and BL (bone level) were found to be greater at 6 months after procedure compared to 3 months , suggesting that the periodontal health of second molars tends to deteriorate with time ,therefore ,it is important to perform clinical examination at 6 months to enable sufficient time for post-extraction hard and soft tissue healing to have occurred.…”

Expandable Micro-motor Bur, design of a new device for least invasive extraction of broken teeth roots

“…Consequently, such invasive surgeries are accompanied with post-operative maladies as pain, swelling, trismus, infection, prolonged bleeding, sinus exposure, nerve injury and innervations disorders [13-16,18]. However, the extent of such maladies depend on a number of factors such as the duration of the operation, difficulty of the surgery, the magnitude of the osteotomy/mucoperiosteal flap [7,8], the lack of oral hygiene and the experience of the surgeon [6,19-25]. …”

Periodontal Healing after Lower Third Molars Extraction: A Clinical Evaluation of Different Flap Designs

“…Technique MARG particularly showed a smaller variation (0.05 mm) between T0 and T3, compared to the other flap designs. Similar PPD variations were reported by other authors [22], confirming a general post-operative PDD increase, ranging from 0.02 to 3.33 mm, within 2 weeks of follow-up, even though different flap designs were compared. Arta et al [24] presented values of PPD of 1.65 mm at baseline and at 2 weeks for 3-cornered flap, 1.73 mm at baseline and 1.75 mm at 2 weeks for Szmyd flap.…”

“…On the other hand, some studies in literature [4,6,12,[22][23][24] declared no relevant influence of specific flap designs on periodontal health of the adjacent second molar after the extraction of impacted third molar. Nevertheless, it is difficult to generalize these considerations because of different short and long-term follow-ups assessed.…”

“…were recorded for PPD of first and second molars in case of envelope flap compared to the triangular one. Stephens et al [22] analyzed envelope and modified envelope flaps, finding no significant differences between them pre-operatively and after 12 weeks; an improvement of probing depth on three surfaces of second molars after 3 months was also reported. Quee et al [27] showed greater values on the distal surfaces at 6 months post-operatively.…”

Impact of Suturing Techniques on the Periodontal Health Status of Mandibular Second Molar After Extr

“…In statistical comparisons of the present study ,closed anchor suture & anchor techniques provided a better spontaneous periodontal healing of the second molar without any periodontal treatment. There is only one study documented the effect of those 2 suturing techniques (simple loop & anchor) in third molar removal surgery and this study showed that the anchor suture technique gave better results of reducing the amount of PPD and CAL of the distal surface of M2 after surgical removal of fully impacted M3 and this study recommended performing necessary furthermore comprehensive studies about this subject (26) .Stephens et al (27) reported an improvement in PPD after 3 months without documentation of the 6-months results. On the other hand , in a recent clinical study , the measurements of PPD ,CAL, and BL (bone level) were found to be greater at 6 months after procedure compared to 3 months , suggesting that the periodontal health of second molars tends to deteriorate with time ,therefore ,it is important to perform clinical examination at 6 months to enable sufficient time for post-extraction hard and soft tissue healing to have occurred.…”

Expandable Micro-motor Bur, design of a new device for least invasive extraction of broken teeth roots

“…Consequently, such invasive surgeries are accompanied with post-operative maladies as pain, swelling, trismus, infection, prolonged bleeding, sinus exposure, nerve injury and innervations disorders [13-16,18]. However, the extent of such maladies depend on a number of factors such as the duration of the operation, difficulty of the surgery, the magnitude of the osteotomy/mucoperiosteal flap [7,8], the lack of oral hygiene and the experience of the surgeon [6,19-25]. …”