Influence of a pedicle flap design on acute postoperative sequelae after lower third molar removal

Goldsmith, Sam M.; Silva, Rohana Kumara De; Tong, D. M.; Love, Robert M.

doi:10.1016/j.ijom.2011.08.006

Cited by 34 publications

(24 citation statements)

References 24 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%

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%

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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“…As a consequence, different surgical strategies such as various flap designs, different closure techniques, the use of drugs and ice packs, surgical drains, and laser applications have been used to prevent or minimize these postoperative complications. 8,11,[17][18][19] In this study, the postoperative outcomes of an alternative flap design, the lingually based triangular flap, were 4…”

Section: Discussionmentioning

confidence: 99%

“…Complete closure, or closed healing, potentially enhances healing by primary intention. 8,10 Irrespective of the application of primary wound closure techniques, wound dehiscence may occur distal to the neighbouring second molar during the first phase of wound healing. This region may undergo secondary healing without any additional discomfort or consequences.…”

Section: Discussionmentioning

confidence: 99%

“…7 Consequently, many surgical approaches have been tried to minimize these complications, such as the use of surgical drains, different wound closure techniques, and various flap designs. 2,6,[8][9][10][11] In oral surgical procedures, it is desirable to place the mucoperiosteal incision on sound bone. Many flap designs used in impacted third molar surgery do not follow this rule, as they involve incisions that are placed on the extraction socket, resulting in a high incidence of mucosal dehiscence, followed by secondary wound healing.…”

mentioning

confidence: 99%

“…2,[8][9][10]12 Numerous investigators advocate using primary wound closure after mandibular third molar surgery to obtain quicker mucosal healing and superior amounts of bone regeneration. 8,13,14 Various incision and flap techniques, each with variations, have been performed for third molar surgery. The envelope flap and triangular flap are the most commonly use and preferred flap designs in impacted third molar surgery.…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Yolcu¹,

Açar²

2015

International Journal of Oral and Maxillofacial Surgery

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Surgical techniques for the removal of mandibular wisdom teeth

Coulthard

Bailey

Esposito

et al. 2014

Cochrane Database of Systematic Reviews

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The thirty-five included trials looked at a range of different surgical techniques. The comparisons related to seven broad aspects of the surgical procedures for impacted mandibular third molars: type of surgical flap raised, use of retractors, techniques for bone removal, wound irrigation, wound closure, wound drainage, and complete/incomplete tooth removal. The quality of the body of evidence for each of these comparisons was very low to moderate due to the small number of trials and patients, and the majority of the trials being at high risk of bias (65%) with the remainder at unclear risk of bias.The evidence for making changes to surgical practice is therefore limited. However, it is useful to describe the state of the research evidence supporting practice so that surgeons can make an informed choice in adopting new techniques, or continuing with established techniques.

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Influence of a pedicle flap design on acute postoperative sequelae after lower third molar removal

Cited by 34 publications

References 24 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 a new flap design with the routinely used triangular flap design in third molar surgery

Surgical techniques for the removal of mandibular wisdom teeth

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