Assessment of Swelling in Patients After Extraction of Impacted Third Molars.

Abstract

Aims: To assess swelling after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Cross sectional study. Setting: Dental OPD of Isra Dental College, Isra University. Period: February to August 2017. Materials and Methods: A sample of 70 patients with impacted third molar was selected by non-probability purposive sampling. Patients were distributed in either conventional technique or by coma shaped incision groups. All procedure was carried out at the Department of Oral surgery, Isra Dental College Hospital. Post-operative measurement of swelling was measured on 1st, 3rd and 7th day respectively. Results: Mean ± SD was noted as 28.70 ± 3.89 years respectively. Age distribution was from 20 – 35 years. Gender distribution in group A was 11 (31.4%) males and 24 (68.6%) females while in group B was 17 (48.5%) males and 18 (51.5%) females respectively with X2 = 2.14 and p= 0.22. Swelling was measured after surgical extraction at day 1, day 3 and day 7. Conclusion: The results of this study showed that the swelling was to some extent reduced in the Coma incision in comparison to the standard Ward`s incision. Further research with newer flap designs like the comma design, which might lessen the post-operative problems, ought to be measured in the extraction of impacted third molar surgery.