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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Comparative analysis of 2-flap designs for extraction of mandibular third molar
Jordan L Silva1, Ellen Cristina Gaetti Jardim, Pâmela Letícia dos Santos
1Department of Surgery and Integrated Clinics, School of Dentistry, State of São Paulo University, Araçatuba, São Paulo, Brazil.
Objective:
The objective of the study was to analyze 2-flap designs for surgical extraction of third molar, evaluating the periodontal status of the second lower molar.
Study Design:
Forty-five lower third molars were extracted from 24 patients. In 23 teeth, a vertical incision to the mandibular ramus was used (technique A), whereas 22 teeth were submitted to classic L-shaped flap (technique B) with controls at 60 and 90 days postoperatively.
Results:
Pearson correlation coefficient analysis showed a significant correlation only between immediate preoperative probing depth variables from techniques A and B in the studied surfaces. Statistical significances in the preoperative (vestibular) and postoperative day 60 (distovestibular and vestibular) were noted. In contrast, Student t-test showed no statistical difference in probing depths between preoperative and postoperative values, as well as no statistically significant difference regarding the type of incision alone.
Conclusions:
Technique A allowed a less traumatic surgery, guaranteeing a more comfortable postoperative period.