The Different Types of Flaps in the Surgical Relations of the Third Impacted Molars–Literature Review

Blanco, Guillermo; Lora, Dianorys; Marzola, C.

doi:10.4172/2161-1122.1000425

Cited by 7 publications

(8 citation statements)

References 94 publications

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“…Some studies reported more severe postoperative swelling with a vertical incision 3 - 5 . However, others showed that surgical flaps do not appear to have a significant role in edema 6 - 8 .…”

Section: Introductionmentioning

confidence: 99%

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

Baik

Kim

et al. 2023

JKAOMS

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This study examined the effects of a vertical incision on postoperative edema after third molar extraction. The study design was that of a comparative split-mouth approach. Evaluation was performed via magnetic resonance imaging (MRI). Two patients with homogeneous bilateral impacted mandibular third molars were enrolled. These patients underwent facial MRI within 24 hours after simultaneous extraction surgery. Modified triangular flap and enveloped flap incisions were made. Postoperative edema was evaluated by MRI and was assessed according to anatomical space. The two pairs of homogeneous extractions demonstrated that vertical incisions were associated qualitatively and quantitatively with extensive postoperative edema. The edema associated with these incisions spread toward the buccal space, beyond the buccinator muscle. In conclusion, a vertical incision with mandibular third molar extraction was related to edema in the buccal space and the fascial space, which contributed to clinical facial swelling.

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Section: Introductionmentioning

confidence: 99%

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

Baik

Kim

et al. 2023

JKAOMS

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“…Elevation of the lingual soft tissues, which was usually limited to a few millimeters, was performed carefully in order to prevent accidental slippage of the periosteal elevator. In this type of flap, to preserve the integrity of the LN, a distal releasing incision was made in the retromolar area from the disto-buccal crown edge of the second molar slightly oblique in the vestibular direction, without involving the lingual side of crestal mucosa (26) .…”

Section: Discussionmentioning

confidence: 99%

Assessment Of Impacted Lower Third Molar Coronectomy Through Vestibular Bone window .

Asser¹

2021

Al-Azhar Journal of Dental Science

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Objective:The aim of the present study was to assess impacted lower third molar coronectomy through vestibular bone window. Materials and Methods: Twenty patients were allocated into two groups. In group 1, the standard coronectomy technique was performed while in group 2, coronectomy through vestibular bone window was done. Preoperative evaluation included examination of the site of surgery for the presence of inflammation, ulceration, discoloration or infection and measurement of the crevicular depth, maximal mouth opening and cheek dimension. OPG and CBCT were used to give full details on tooth and its relation to IAN. Results: Out of 20 patients only one (5%) had IANI. The mean crevicular depth was significantly less in vestibular window group than regular coronectomy. The mean MMO was larger in vestibular window group than regular coronectomy, the difference was nonsignificant. The mean cheek dimension was less in vestibular window group than regular coronectomy, the difference was nonsignificant. The mean VAS value was higher in group 2 than group 1; however, the difference between the two groups was nonsignificant. Conclusion: Coronectomy is a safe technique that greatly reduces the risk of IANI. Coronectomy through vestibular bone window technique may reduce periodontal pocket formation distal to the lower second molar. Vestibular bone window technique has no effect on postoperative sequelae (trismus, swelling and pain).

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“…Ustad et al showed that pain and swelling were significantly greater in the triangular flap than the envelope flap, 16 whereas in our study there was more pain in the envelope than the bayonet and least in the new flap design. The potential problems of the envelope flap and the bayonet flap have been discussed in various literatures, 17,18 which have been overcome in our new flap design.…”

Section: Discussionmentioning

confidence: 99%

Comparison of New Flap Design with Conventional Flap Designs on Postoperative Pain and Swelling Following Mandibular Third Molar Removal

Mohan¹,

Loganathan²,

Kamaraj³

et al. 2019

World Journal of Dentistry

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Aim: To evaluate a new flap design that is a modification of an envelope flap in reducing the postoperative complications and to compare it with the conventional flaps such as a bayonet flap and an envelope flap for the surgical removal of impacted mandibular third molars. Materials and methods: A prospective randomized control clinical study was conducted on 90 medically healthy patients who came with impacted mandibular third molars. The patients were randomly divided into group I, group II, and group III of 30 patients each. All three group patients underwent surgical removal of impacted mandibular third molars wherein for group I patients, a bayonet flap was raised, for group II a modified envelope flap (new flap design), and for group III an envelope flap was raised. Postoperative pain and swelling at day 1, 3, and 7 were assessed and compared. Data were analyzed with ANOVA, using SPSS software version 20. Results: The group II proved more successful in reducing the postsurgical sequelae of impacted third molar removal. Postoperative analysis showed increased amount of pain and swelling in groups I and III as compared to group II. Conclusion:The new design flap that is a modification of an envelope flap is more superior to other two conventional techniques. Clinical significance: The new flap design is useful in reducing postoperative pain and swelling, which is the most common sequel of surgical removal of the impacted third molar and is easy to practice.

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The Different Types of Flaps in the Surgical Relations of the Third Impacted Molars–Literature Review

Cited by 7 publications

References 94 publications

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

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

Assessment Of Impacted Lower Third Molar Coronectomy Through Vestibular Bone window .

Comparison of New Flap Design with Conventional Flap Designs on Postoperative Pain and Swelling Following Mandibular Third Molar Removal

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