COMPARISON BETWEEN THE LINGUALLY BASED AND THE BUCCALLY BASED TRIANGULAR FLAP DESIGN IN THE SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLARS (CLINICAL TRIAL)

Said, Nesma M.; Osman, Saeeda M.; Sweedan, Ahmed O.

doi:10.21608/adjalexu.2021.144852

	COMPARISON BETWEEN THE LINGUALLY BASED AND THE BUCCALLY BASED TRIANGULAR FLAP DESIGN IN THE SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLARS (CLINICAL TRIAL)
Alexandria Dental Journal
Article 6, Volume 46, Issue 1, April 2021, Pages 36-42 PDF (572.83 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2021.144852
Authors
Nesma M. Said^* ¹; Saeeda M. Osman²; Ahmed O. Sweedan³
¹Oral and Maxillofacial Surgery department ,faculty of dentistry,Alexandria university
²Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt.
³Lecturer of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt.
Abstract
INTRODUCTION: Removal of wisdom teeth could be challenging owning to limited accessibility, the tooth’s structural location and probable nerve damage especially to the inferior alveolar nerve and the lingual nerve. OBJECTIVES: The primary goal of this study is to make a comparison between the lingually based triangular flap and the buccally based triangular flap in terms of post-operative healing and complications. METHODS: 20 patients between the age of 21 and 30 years were randomly selected for mandibular third molar removal from clinic of the Oral and Maxillofacial Department, Faculty of Dentistry, Alexandria University. They were divided into two groups the study group (n=10) was operated using the lingually based triangular flap design and the control group (n=10) was operated using the buccally based triangular flap design. The patients were recalled on the 2nd, 7th and 14th days postoperatively in order to evaluate postoperative pain ,swelling ,wound dehiscence , the incidence of dry socket formation and lingual nerve injury. RESULTS: The lingually based triangular flap showed inferior levels of pain and was statistically significant in the 3rd and 7th day postoperatively . The lingually based triangular flap design showed less amount of facial swelling and lower incidence of wound dehiscence, dry socket formation and lingual nerve injury but the difference between the groups was all statistically insignificant. CONCLUSION: Lingually based triangular flap design revealed better postoperative healing than buccally based triangular flap design.
Keywords
Lingual Triangular Flap; Buccal Triangular; Impaction; Mandibular Molar

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