TY - JOUR AU - Ahmed, Naseer AU - Khan, Muhammad Nazir AU - Mahmood, Saad AU - Adeel, Muhammad Ramzan AU - Yasir, Ammar AU - Saeed, Shahrukh Ahmed PY - 2022/11/07 Y2 - 2024/03/29 TI - Removal of Partially Impacted Mandibular Third Molars with and without Flap: A Comparison of Two Surgical Techniques JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 72 IS - 5 SE - Original Articles DO - 10.51253/pafmj.v72i5.8382 UR - https://pafmj.org/PAFMJ/article/view/8382 SP - 1804-07 AB - <p><strong>Objectives:</strong> 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.</p><p><strong>Study Design:</strong> Quasi-experimental study.</p><p><strong>Place and duration of Study:</strong> Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from May to Nov 2021.</p><p><strong>Methodology:</strong> 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). </p><p><strong>Results:</strong> 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,&lt;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,&lt;0.001).</p><p><strong>Conclusion:</strong> 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.</p> ER -