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Comparative analysis of 2-flap designs for extraction of mandibular third molar. | LitMetric

AI Article Synopsis

  • The study aimed to compare two flap designs (vertical incision vs. L-shaped flap) for extracting lower third molars and their effects on the periodontal health of adjacent second molars.
  • A total of 45 extractions were analyzed between two techniques, with assessments made 60 and 90 days after surgery; results indicated some significant probing depth changes but no notable differences between techniques overall.
  • Technique A (vertical incision) was found to be less traumatic and resulted in a more comfortable recovery compared to Technique B (L-shaped flap).

Article Abstract

Objective: The objective of the study was to analyze 2-flap designs for surgical extraction of third molar, evaluating the periodontal status of the second lower molar.

Study Design: Forty-five lower third molars were extracted from 24 patients. In 23 teeth, a vertical incision to the mandibular ramus was used (technique A), whereas 22 teeth were submitted to classic L-shaped flap (technique B) with controls at 60 and 90 days postoperatively.

Results: Pearson correlation coefficient analysis showed a significant correlation only between immediate preoperative probing depth variables from techniques A and B in the studied surfaces. Statistical significances in the preoperative (vestibular) and postoperative day 60 (distovestibular and vestibular) were noted. In contrast, Student t-test showed no statistical difference in probing depths between preoperative and postoperative values, as well as no statistically significant difference regarding the type of incision alone.

Conclusions: Technique A allowed a less traumatic surgery, guaranteeing a more comfortable postoperative period.

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Source
http://dx.doi.org/10.1097/SCS.0b013e3182101551DOI Listing

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