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COMPARISON OF TWO DIFFERENT FLAP DESIGNS FOR BILATERAL IMPACTED MANDIBULAR THIRD MOLAR SURGERY.

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Abstract Objective We compared the effect of lingual-based triangular flap with buccal-based triangular flap on postoperative complications in impacted third molar surgery. Material and methods Thirty patients aged between 18… Click to show full abstract

Abstract Objective We compared the effect of lingual-based triangular flap with buccal-based triangular flap on postoperative complications in impacted third molar surgery. Material and methods Thirty patients aged between 18 and 36 (mean age 19.65 ± 2.14) were included. They all had bilateral impacted third molars. We used buccal-based triangular flap on a randomly selected side (Group 1) and lingual-based triangular flap on the other side (Group 2). We evaluated pain during 7 days after the surgery; swelling and trismus on postoperative 2., 7. and 14. days; wound dehiscence and alveolar osteitis incidence on postoperative 7. and 14. days. Results Pain was significantly higher in Group 2 during 7 days postoperatively (P  Conclusion The buccal-based triangular flap seems better with regard to postoperative pain, swelling and trismus. On the other hand, the lingual-based triangular flap had a lesser incidence for wound dehiscence.

Keywords: triangular flap; based triangular; molar surgery; third molar; bilateral impacted

Journal Title: Journal of stomatology, oral and maxillofacial surgery
Year Published: 2019

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