Periodontal healing after impacted lower third molar surgery in adolescents and adults

Kugelberg, Carl F.; Ahlström, Ulf; Ericson, Sune; Hugoson, Anders; Kvint, S

doi:10.1016/s0901-5027(05)80689-7

Cited by 116 publications

(97 citation statements)

References 21 publications

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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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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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“…Many studies show that after removal of the mandibular third molar, there will be an injury to the distal aspect of the second molar, and it is still indicated as successful treatment. [10][11][12] Recently, piezosurgery has been invented to perform safe and precise surgeries. 13 To standardize our results, it was conducted on 30 male individuals having their age ranging from 25 to 33 years, in order to remove the gender factor that may play a role in postoperative complications due to hormonal changes that may occur in females.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Piezoelectric and Rotary Osteotomy Technique for Third Molar Impaction

Daniel³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction: Bone removal is necessary for extracting the third molars that are erupted, partially erupted, and/or impacted in bone. Hence, it is necessary to choose a surgical method or instruments that conform to anatomic landmarks and are based on physiological principles. Many authors have reported injuries to the adjacent tooth, especially the distal part of periodontium after removal of second molar. Hence, the present study was undertaken to assess and compare the surgical and postsurgical outcomes of third molar removal using piezoelectric surgery and rotary bur. Materials and methods:A total of 30 healthy adult individuals who were in need of prophylactic removal of impacted mandibular third molar tooth with ideal condition were included for the study. Individuals were divided randomly into study groups of 15 each, so that the difficulty of surgery will be the same in both the groups. Group I -piezoelectric osteotomy technique and group II -rotary osteotomy technique. The rotary device consists of a hand piece and a rotary speed ranging around 35,000 rpm was used. The piezoelectric device consists of a hand piece, and a frequency of 25 to 29 kHz with a microvibration of 60 to 200 mm/sec was used with a boosted working mode. Data were analyzed using unpaired t-test and qualitative data were analyzed using Fischer's exact test.

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“…They were able to conclude that repeated radiographic registrations of the 2 Mm region, using their technique, could be performed with accuracy. 7,[28][29][30] In this study all of the radiographic measurements were performed three times, for the purpose of statistically validating their accuracy and repeatability. All the measures were made by a single operator (AF) avoiding possible interexaminer error.…”

Section: Discussionmentioning

confidence: 99%

Repeatability and accuracy of a paralleling technique for radiographic evaluation of distal bone healing after impacted third molar surgery

Faria

Torreira²,

López-Ratón

2013

Dentomaxillofacial Radiology

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Objectives: The purpose of this study was to investigate the repeatability and radiographic accuracy of an intraoral paralleling technique to evaluate periodontal bone healing on the distal surface of the second mandibular molar (2 Mm) after impacted third mandibular molar (3 Mm) surgical extraction. Methods: In order to estimate the variation in different radiographs, three replicas were made, each from 2 Mm, totalling 69 radiographic radicular longitude (RRL) recordings. One operator performed the periapical radiographs in a standard manner, utilizing a modified posterior film holder for the radiographic technique of parallelism, applied on the posterior region with the X-ray beam focused on the centre of 2 Mm. These radiographic recordings of the same region were obtained on three different and separate occasions, over a 12 month evaluation period after surgical extraction of the impacted 3 Mm. The RRL variable was measured and recorded three times by the same operator, with side-by-side comparison of three posterior periapical radiographs, irrespective of when the assessments were performed. Results: There were no statistically significant differences between the three replica recordings (p 5 0.969). The correlations between the three sets of measurements were evaluated and found to be highly associated (intraclass correlation reliability coefficient 5 0.90) and statistically significant (p#0.05). The median and mean error of the radiographic technique evaluated was ¡0.257 mm and ¡0.347 mm, respectively. Conclusions: The radiographic technique described permits standardization in periapical radiographs with a high repeatability and accuracy in posterior radiographic records (distal surface of 2

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Periodontal healing after impacted lower third molar surgery in adolescents and adults

Cited by 116 publications

References 21 publications

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

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

Comparative Study of Piezoelectric and Rotary Osteotomy Technique for Third Molar Impaction

Repeatability and accuracy of a paralleling technique for radiographic evaluation of distal bone healing after impacted third molar surgery

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