Comparison of a new flap design with the routinely used triangular flap design in third molar surgery

Yolcu, Ümit; Açar, Abdullah

doi:10.1016/j.ijom.2015.07.007

Cited by 37 publications

(43 citation statements)

References 21 publications

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“…However, the differences in both studies were not statistically significant. In contrast, and in agreement with a number of previous studies we determined no correlation between alveolar osteitis and flap selection. The subject therefore remains a controversial one.…”

Section: Discussionsupporting

confidence: 92%

“…Flap design is an important factor affecting the frequency and severity of post-operative complications. [10][11][12] The last 30 years have seen a steady increase in the use of patient-centred outcome scales in general medicine and surgery. 13 Investigations evaluating the effect of surgical removal of impacted third molars on patients' QOL and correlating the effect with objectively measured sequelae have become increasingly important in oral-maxillofacial surgery.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Various surgical approaches have been employed and compared in the search for a solution. Flap design is an important factor affecting the frequency and severity of post‐operative complications …”

Section: Introductionmentioning

confidence: 99%

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The influence of flap design on sequelae and quality of life following surgical removal of impacted mandibular third molars: A split‐mouth randomised clinical trial

Kaya

Yavuz

Saruhan

2019

J of Oral Rehabilitation

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Background Surgical removal of impacted mandibular third molar is one of the most frequently performed interventions in oral and maxillofacial surgery. Objectives To compare two different flap designs in terms of sequelae and quality of life following surgical removal of impacted third molars. Methods This prospective, randomised, split‐mouth clinical study involved patients referred for surgical removal of bilateral symmetrical impacted mandibular third molars. Envelope flap and modified triangular flap techniques were used. The effects of flap design on trismus, swelling, wound dehiscence, alveolar osteitis, haematoma, infection and quality of life were evaluated on post‐operative days 3 and 7. Pain levels were assessed on post‐operative days 1, 3 and 7. Results Significant differences were determined between the two groups in terms of trismus, pain and wound dehiscence scores on post‐operative day 3. However, on post‐operative day 7, this difference was observed only in trismus. Statistically significant differences were also determined between the two groups on post‐operative day 3 for social isolation and eating subscale scores as well as total quality of life score. Conclusion Based on the study findings, the modified triangular flap may be superior to the envelope flap in terms of pain, trismus, and wound dehiscence in the first 3 days after impacted third molar surgery and may have a better impact on quality of life during this process.

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Section: Discussionsupporting

confidence: 92%

Section: Backg Rou N Dmentioning

confidence: 99%

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The influence of flap design on sequelae and quality of life following surgical removal of impacted mandibular third molars: A split‐mouth randomised clinical trial

Kaya

Yavuz

Saruhan

2019

J of Oral Rehabilitation

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“…12 Triangular flap produces a better viewing field and is wider than the flap envelope, due to a vertical releasing incision but will result in swelling and other signs of postoperative complications. [10][11][12] The reverse triangular flap is a triangular flap by creating a vertical releasing flap on the distal side that leads from the lingual side to the buccal side through the external oblique linea in the retromolar area of the mandibular third molar and adds a sulcular horizontal incision on the distobuccal side of the mandibular second molar.…”

Section: Discussionmentioning

confidence: 99%

Comparison of three flap designs on postoperative complication after third molar surgery

Arindra¹,

Indrapradana²

2018

Intisari Sains Medis

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Introduction: Third molar surgery can cause post-operative complications to the patient due to the presence of wound from the incision. The study aimed to compare modified triangular (triangular reverse) flap with triangular and envelope flap on postoperative complications by the measurements on post-surgical swelling, trismus, pain scale, wound dehiscence and the occurrence of alveolar osteitis. Methods: Study design using a single-blind randomized clinical trial. Each treatment group consisted of 10 patients. An assessment was performed on day 1, 7 and 14 after surgery. The swelling was measured using different anatomical points, and trismus was measured using the distance of inter-incisal opening. The occurrence of dehiscence was measured from the width of the incision line. Alveolar osteitis and pain scale was observed. Results: The results of one way ANOVA (p > 0.05) shows there was no difference between treatment groups both for swelling and mouth opening, but there was a difference between treatment groups for dehiscence on days 7 and 14. The results of the Post Hoc test show that flap envelope differs from the other flap design, whereas triangular and triangular reverse flap showed no difference. Friedman test results (p > 0.05) showed no difference in VAS score. There was no alveolar osteitis occurred in each treatment group during postoperative control. Kruskal Wallis test (p > 0.05) showed that there was no difference of VAS score between treatment group during post-operative control. Conclusion: The triangular reverse flap design may decrease the occurrence of postoperative complication after mandibular third molar surgery.

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“…Soft and hard tissue manipulation during third molar extraction may trigger transient effects such as postoperative discomfort, swelling and pain that can adversely affect patient wellbeing (2). Other clinical aspects such as osteitis or infection have also been considered (4,5,(7)(8)(9). Thus, seeking the best approach to ensure good postoperative quality of life in patients undergoing impacted third molar extraction is an important concern in everyday clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis

Glera-Suárez¹,

Soto-Peñaloza²,

Peñarrocha‐Oltra³

et al. 2020

Med Oral

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Background: To review the literature on the effect of different surgical flaps upon patient morbidity (pain perception, trismus, swelling and osteitis) after impacted third molar extraction. Material and methods: An electronic and complementary search of main databases and grey literature was performed up to January 2019 to retrieve randomized clinical trials. The Cochrane risk of bias assessment tool was used for methodological appraisal. A random-effects meta-analysis was conducted of pain perception and trismus. Results: From the initially 1314 screened studies, only 11 were included in the qualitative synthesis, and 5 in the meta-analysis. There were no statistically significant differences in pain between the envelope and triangular flap designs over time, except on the sixth postoperative day, when the envelope flap proved more painful. Regarding trismus, statistically significant differences were observed on the seventh postoperative day, with greater mouth opening in the envelope flap group than in the triangular flap group. There were no clear differences in swelling and osteitis among the flap designs. Conclusions: Despite its limitations, the present meta-analysis found no clear differences in patient morbidity between the different flap designs.

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Comparison of a new flap design with the routinely used triangular flap design in third molar surgery

Cited by 37 publications

References 21 publications

The influence of flap design on sequelae and quality of life following surgical removal of impacted mandibular third molars: A split‐mouth randomised clinical trial

The influence of flap design on sequelae and quality of life following surgical removal of impacted mandibular third molars: A split‐mouth randomised clinical trial

Comparison of three flap designs on postoperative complication after third molar surgery

Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis

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