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

Volume 2 , Issue 2 , December 2015 , Pages 121-128

Authors

Faaiz Y. Alhamdani 1 ; Athil A.Raheem 2 ; Basma Kamal 2

1 B.D.S, M.Sc, Ph.D. Lecturer, Oral and Maxillofacial Surgery Dep. College of Dentistry, Al- Mustansiriay University, Baghdad- Iraq.

2 B.D.S, M.Sc. Oral Surgeons, Alkaramah Secondary Dental Care Centre,Baghdad- Iraq.

DOI logo 10.17656/sdj.10050

Keywords

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.

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