Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques
Objectives: To compare with and without flap removal of partially impacted mandibular third molars in terms of mean pain and mean swelling on the second post-operative day. Study Design: Quasi-experimental study. Place and duration of Study: Department of Oral and Maxillofacial Surgery, Armed...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2022-11-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/8382 |
| _version_ | 1828119429842468864 |
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| author | Naseer Ahmed Muhammad Nazir Khan Saad Mahmood Muhammad Ramzan Adeel Ammar Yasir Shahrukh Ahmed Saeed |
| author_facet | Naseer Ahmed Muhammad Nazir Khan Saad Mahmood Muhammad Ramzan Adeel Ammar Yasir Shahrukh Ahmed Saeed |
| author_sort | Naseer Ahmed |
| collection | DOAJ |
| description |
Objectives: To compare with and without flap removal of partially impacted mandibular third molars in terms of mean pain and mean swelling on the second post-operative day.
Study Design: Quasi-experimental study.
Place and duration of Study: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from May to Nov 2021.
Methodology: Sixty cases (30 in each Group) with partially impacted mandibular third molar with mesioangular impaction aged 18-45 years were included. Random allocation of patients was done to the removal with flap (Group-A) and without flap (Group-B). On the second post-operative day, the outcome of pain and swelling in patients was measured based on the Visual Analogue Scale (VAS between 0 to 10 cm points for pain and swelling on a scale of 0 to 3).
Results: The mean pain score was 5.67±1.30 in Group-A (with flap) versus 2.97±1.25 in Group-B (without flap) (p-value,<0.001). The mean swelling score was 5.40±1.16 for Group-A (with flap) versus 2.97±1.15 for Group-B (without flap) (p-value,<0.001).
Conclusion: The surgical extraction of the partially impacted mesioangular mandibular third molar without buccal flap reflection and bone ostectomy resulted in less post-operative pain and swelling than surgery with buccal flap reflection and bone ostectomy.
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| first_indexed | 2024-04-11T13:48:11Z |
| format | Article |
| id | doaj.art-35003f11ec8d42bc90c3863468f03390 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-11T13:48:11Z |
| publishDate | 2022-11-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-35003f11ec8d42bc90c3863468f033902022-12-22T04:20:53ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-11-0172510.51253/pafmj.v72i5.8382Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical TechniquesNaseer Ahmed0Muhammad Nazir Khan1Saad Mahmood2Muhammad Ramzan Adeel3Ammar Yasir4Shahrukh Ahmed Saeed5Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan Objectives: To compare with and without flap removal of partially impacted mandibular third molars in terms of mean pain and mean swelling on the second post-operative day. Study Design: Quasi-experimental study. Place and duration of Study: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from May to Nov 2021. Methodology: Sixty cases (30 in each Group) with partially impacted mandibular third molar with mesioangular impaction aged 18-45 years were included. Random allocation of patients was done to the removal with flap (Group-A) and without flap (Group-B). On the second post-operative day, the outcome of pain and swelling in patients was measured based on the Visual Analogue Scale (VAS between 0 to 10 cm points for pain and swelling on a scale of 0 to 3). Results: The mean pain score was 5.67±1.30 in Group-A (with flap) versus 2.97±1.25 in Group-B (without flap) (p-value,<0.001). The mean swelling score was 5.40±1.16 for Group-A (with flap) versus 2.97±1.15 for Group-B (without flap) (p-value,<0.001). Conclusion: The surgical extraction of the partially impacted mesioangular mandibular third molar without buccal flap reflection and bone ostectomy resulted in less post-operative pain and swelling than surgery with buccal flap reflection and bone ostectomy. https://www.pafmj.org/index.php/PAFMJ/article/view/8382Buccal flapPartially impacted mesioangular mandibular third molarPainSwellingThird molar surgery |
| spellingShingle | Naseer Ahmed Muhammad Nazir Khan Saad Mahmood Muhammad Ramzan Adeel Ammar Yasir Shahrukh Ahmed Saeed Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques Pakistan Armed Forces Medical Journal Buccal flap Partially impacted mesioangular mandibular third molar Pain Swelling Third molar surgery |
| title | Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques |
| title_full | Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques |
| title_fullStr | Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques |
| title_full_unstemmed | Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques |
| title_short | Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques |
| title_sort | removal of partially impacted mandibular third molars with and without flap a comparison of two surgical techniques |
| topic | Buccal flap Partially impacted mesioangular mandibular third molar Pain Swelling Third molar surgery |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/8382 |
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