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sdj-10050

Modified Flap Design for Lower Third Molar Surgery: A Short Patient-based Outcome Comparative Study

*Faaiz Y. Alhamdani, **Athil A.Raheem & **Basma Kamal

*College of Dentistry, Al- Mustansiriay University, Baghdad- Iraq.

**Alkaramah Secondary Dental Care Centre,Baghdad- Iraq.


DOI: https://doi.org/10.17656/sdj.10050

Abstract

Objectives: to compare the influence of a newly suggest modified flap design on pain and swelling with the traditional two sided flap.

Materials and Methods:
Patients were divided into two groups: conventional approach (control) group (n=42) and modified approach (experimental) group (n=41). Pain and swelling were evaluated for the first three postoperative days using 10 cm visual analogue scales. Presence of dry socket was documented in the 7th postoperative day.

Results:
There was statistically significant difference on the third  postoperative day (p <0.05) in the mean pain score between the two surgical groups. The mean score of swelling in conventional group
was slightly higher than the modified approach (p<0.05) in the first and the third post operative days. The incidence of dry socket in the modified approach was significantly less than conventional approach group (p <0.001).

Conclusions:
The modified flap design has a relative advantage over the conventional two sided buccal approach in terms of postoperative pain, swelling and dry socket incidence.

Keywords: modified approach, lower third molar surgery, pain, swelling, dry socket.



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