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  • Influence of two different flap designs on incidence of pain, swelling, trismus, and alveolar osteitis in the week following third molar surgery

    Author(s)
    Kirk, D Glenn
    Liston, Peter N
    Tong, Darryl C
    Love, Robert M
    Griffith University Author(s)
    Love, Robert M.
    Year published
    2007
    Metadata
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    Abstract
    Objective. To investigate the influence of flap design on postoperative trismus, pain, and swelling. Study design. Thirty-two patients with bilateral symmetrically impacted mandibular third molars participated in a randomized prospective split mouth study. Two flap designs were used: a buccal envelope flap and a modified triangular flap. Postoperative pain was recorded using a standardized visual analog scale. Postoperative swelling was evaluated using laser scans of models of the patient’s cheek taken before and two days after surgery, with the scan area being calculated using MatLab® software. Results. There were no ...
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    Objective. To investigate the influence of flap design on postoperative trismus, pain, and swelling. Study design. Thirty-two patients with bilateral symmetrically impacted mandibular third molars participated in a randomized prospective split mouth study. Two flap designs were used: a buccal envelope flap and a modified triangular flap. Postoperative pain was recorded using a standardized visual analog scale. Postoperative swelling was evaluated using laser scans of models of the patient’s cheek taken before and two days after surgery, with the scan area being calculated using MatLab® software. Results. There were no statistical differences between the flap designs in terms of severity of postoperative pain or trismus. A statistically significant difference was observed in postoperative swelling at 2 days, with the modified triangular flap design being associated with increased swelling. The envelope flap design was associated with a higher incidence of alveolar osteitis. Conclusion. The flap designs used in this study did not adversely affect patients in terms of postoperative pain and trismus, and although greater extraoral swelling was seen with the modified triangular flap design, the clinical relevance is debatable.
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    Journal Title
    Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology
    Volume
    104
    Issue
    1
    DOI
    https://doi.org/10.1016/j.tripleo.2007.01.032
    Subject
    Dentistry not elsewhere classified
    Dentistry
    Publication URI
    http://hdl.handle.net/10072/345033
    Collection
    • Journal articles

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