Tooth, Impacted
Conditions
Brief summary
The primary objective of this study was to compare between the lingually based triangular flap with the buccally based triangular flap in the surgical removal of impacted mandibular third molars.
Detailed description
Many flap designs used for impacted third molar surgery do not place the mucoperosteal incision on sound bone, as they involve incisions that are placed on the extraction socket resulting in higher incidence of mucosal dehiscence, followed by secondary wound healing This study involved 20 patient with bilaterally mesially angulated impacted third molar (class II position B). One side was surgically removed using the lingually based triangular flap and the other side was surgically removed using the bucally based triangular flap
Interventions
PROCEDURELingually based triangular flap
A lingually based triangular flap was used to remove the impacted third molar. An incision was made adjacent to the distal surface of the mandibular second molar and extended along the sulcus to the distobuccal corner of the mandibular second molar, an oblique vestibular incision was made and extended into the vestibular fornix of the mandible. Aligned with the mesiobuccal cusp of the second molar. It was continued posterosuperior towards the anterior border of the mandibular ramus An incision will be made from the anterior border of the mandibular ramus to the distal surface of the mandibular second molar.
PROCEDUREBuccally based triangular flap
The impacted teeth was removed using a buccal based triangular flap. It will be extended along the sulcus to the distobuccal corner of the second molar . The incision was continuous, with a relieving vertical incision, oblique into the mandibular vestibular fornix, aligned with the mesiobuccal cusp of the second molar.
Sponsors
Alexandria University
Nourhan M.Aly
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
This study was a single blinded trial, where the participants did not know the technique used in each side.
Intervention model description
this study involved 20 patient with bilaterally mesially angulated impacted third molar (class II position B). One side was surgically removed using the lingually based triangular flap and the other side was surgically removed using the bucally based triangular flap
Eligibility
Sex/Gender
ALL
Age
21 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
Presence of impacted third molar that is misally angulated and retained in bone (class II position B).
Exclusion criteria
* Patients with a history of systemic disease (diabetes, renal failure, immunocompromised patients, cardiac patients and patients taking radiotherapy or chemotherapy ) * Compromised dental and periodontal status * Heavy Smoking. * Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain using Visual Analogue Scale (VAS) | 7 days | Pain was assessed through on a 10-point Visual Analogue Scale (VAS). (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe) |
| Postoperative Edema | 7 days | For the objective evaluation of swelling, five distances were measured * The distance from the mandibular angle to the lateral corner of the mouth * The distance from the mandibular angle to the nasal alar curvature * The distance from the mandibular angle to the lateral canthus of the eye * The distance from the tragus to the soft tissue pogonion * The distance from the tragus to the lateral corner f the mouth |
| Trismus Assessment | 7 days | Trismus was assessed by measuring the maximum inter-incisional opening (in millimeters) the distance between the incisal edge of the upper and lower central incisor using caliber. |
| Wound healing/ Presence of alveolar osteitis | 21 days | The presence of alveolar osteitis (dry socket) will be determined clinically using BLUM'S criteria. Wound healing was assessed and recorded depending on the absence or presence of dehiscence, every opening along the incision will be recorded as dehiscence , dental tweezers will be used to identify it. |
Countries
Egypt
Outcome results
None listed