OUTCOME OF ENVELOPE AND TRIANGULAR FLAP DESIGN IN SURGICAL MANAGEMENT OF IMPACTED MANDIBULAR THIRD MOLAR
DOI:
https://doi.org/10.33279/jkcd.v7i02.413Keywords:
Impacted tooth, Mandibular third molar, Post operative complications, Flap design, Third molar surgeryAbstract
Objective: The objective of the study was to compare the outcome of envelope and triangular flap design in surgical management of impacted mandibular third molar surgery in terms of pain, swelling and trismus.
Material and Methods: Surgery of Impacted third molar is a common dental procedure that requires a sound understanding of surgical principles and patient management skills. Generally envelope and triangular flaps are most commonly used flap designs in routine maxillofacial surgery practice. Surgical removal of impacted mandibular third molar is followed by sequel such as pain, swelling and trismus. The study was conducted in department of Oral and Maxillofacial surgery, Khyber College of Dentistry over a period of 10 months. Two hundred and eighty four patients of impacted mandibular 3rd molars were divided into two groups of 142 each. Impacted mandibular third molars having Pederson scale 3 were operated with envelope flap and 142 with triangular flap through randomization using lottery method.
Results: In Envelope flap group 22% experienced no pain, 36% mild pain,40% moderate pain and 1% severe pain.In triangular flap group 8% experienced no pain, 53% mild pain,37% moderate pain and 1% experienced severe pain. In envelope flap group 22% patients experienced Grade 1 swelling ,75% grade 2,3% grade 3 swelling. In triangular flap group 22% experienced Grade 1 swelling,67% grade 2 and 11% grade 3 swelling. In envelope flap group 68% experienced trismus and 32% experienced no trismus.In triangular flap group 59% experienced trismis and 41% no trismus.
Conclusions: Results of envelope and triangular flap design in terms of post operative pain, swelling and trismus were comparable with one another.
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Copyright (c) 2017 Saima Manzoor, Muslim Khan, Sana Wazir
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