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Related Experiment Video

Updated: Mar 3, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Lingual Based Four Cornered Flap for Third Molar Surgery.

Anshul Rai1, Monika Rai2

  • 1Department of Trauma and Emergency Medicine, AIIMS, Bhopal, MP India.

Journal of Maxillofacial and Oral Surgery
|April 26, 2017
PubMed
Summary
This summary is machine-generated.

The lingual based four cornered flap offers superior healing, reduced pain, and better visibility for impacted third molar surgery compared to the triangular flap. This technique promotes primary intention healing and minimizes complications like alveolar osteitis.

Keywords:
Double layer suturingImpacted third molar surgeryLingual based flapRai Modification

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Techniques

Background:

  • Impacted third molar surgery is a common dental procedure.
  • Surgical flap design influences post-operative outcomes.
  • The triangular flap is a widely used technique.

Purpose of the Study:

  • To compare the efficacy of the lingual based four cornered flap versus the triangular flap for impacted third molar surgery.
  • To evaluate post-operative healing and patient comfort.

Main Methods:

  • Prospective randomized clinical study involving ten patients with bilateral impacted third molars.
  • One side treated with triangular flap and single-layer closure; the other with lingual based four cornered flap and double-layer closure.
  • All procedures performed under local anesthesia by a single surgeon.

Main Results:

  • The lingual flap group demonstrated primary intention healing with reduced pain, swelling, and incidence of alveolar osteitis.
  • Excellent visibility and less distal pocket formation were noted with the lingual flap.
  • The lingual flap required slightly less surgical time.

Conclusions:

  • The lingual based four cornered flap is a superior technique for impacted third molar surgery.
  • This flap design leads to improved patient outcomes and reduced complications.