Comparison of two different flap designs for bilateral impacted mandibular third molar surgery
Küçük Resim Yok
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: We compared the effect of lingual-based triangular flap with buccal-based triangular flap on postoperative complications in impacted third molar surgery. Material and methods: Thirty patients aged between 18 and 36 (mean age 19.65 +/- 2.14) were included. They all had bilateral impacted third molars. We used buccal-based triangular flap on a randomly selected side (Group 1) and lingual-based triangular flap on the other side (Group 2). We evaluated pain during 7 days after the surgery; swelling and trismus on postoperative 2., 7. and 14. days; wound dehiscence and alveolar osteitis incidence on postoperative 7. and 14. days. Results: Pain was significantly higher in Group 2 during 7 days postoperatively (P < .05). Trismus and swelling were also more prominent in Group 2 on postoperative days 2 and 7. In Group 2, the duration of the surgery in was longer than Group 1 (P < .05). In Group 1, 17 patients (56.7%) had wound dehiscence and 6 patients (20%) in Group 2 (P < .05). No alveolar osteitis developed in either groups. Conclusion: The buccal-based triangular flap seems better with regard to postoperative pain, swelling and trismus. On the other hand, the lingual-based triangular flap had a lesser incidence for wound dehiscence. (C) 2019 Elsevier Masson SAS. All rights reserved.
Açıklama
Anahtar Kelimeler
Flap Techniques, Third Molar Surgery, Pain, Swelling, Trismus
Kaynak
Journal Of Stomatology Oral And Maxillofacial Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
121
Sayı
4
