Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques

  • Naseer Ahmed Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Muhammad Nazir Khan Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Saad Mahmood Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Muhammad Ramzan Adeel Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Ammar Yasir Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Shahrukh Ahmed Saeed Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Keywords: Buccal flap, Partially impacted mesioangular mandibular third molar, Pain, Swelling, Third molar surgery

Abstract

Objectives: To compare with and without flap removal of partially impacted mandibular third molars in terms of mean pain and mean swelling on the second post-operative day.

Study Design: Quasi-experimental study.

Place and duration of Study: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from May to Nov 2021.

Methodology: Sixty cases (30 in each Group) with partially impacted mandibular third molar with mesioangular impaction aged 18-45 years were included. Random allocation of patients was done to the removal with flap (Group-A) and without flap (Group-B). On the second post-operative day, the outcome of pain and swelling in patients was measured based on the Visual Analogue Scale (VAS between 0 to 10 cm points for pain and swelling on a scale of 0 to 3).

Results: The mean pain score was 5.67±1.30 in Group-A (with flap) versus 2.97±1.25 in Group-B (without flap) (p-value,<0.001). The mean swelling score was 5.40±1.16 for Group-A (with flap) versus 2.97±1.15 for Group-B (without flap) (p-value,<0.001).

Conclusion: The surgical extraction of the partially impacted mesioangular mandibular third molar without buccal flap reflection and bone ostectomy resulted in less post-operative pain and swelling than surgery with buccal flap reflection and bone ostectomy.

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Published
2022-11-07
How to Cite
Ahmed, N., Khan, M., Mahmood, S., Adeel, M. R., Yasir, A., & Saeed, S. (2022). Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques. Pakistan Armed Forces Medical Journal, 72(5), 1804-07. https://doi.org/10.51253/pafmj.v72i5.8382
Section
Original Articles