Effect of 2 flap designs on postoperative pain and swelling after impacted third molar surgery

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Oct;116(4):e244-6. doi: 10.1016/j.oooo.2011.11.030. Epub 2012 Jul 21.

Abstract

Objective: The aim of this study was to evaluate 2 flap designs (envelope and modified triangular flap) for postoperative pain and swelling after mandibular impacted third molar surgery.

Study design: Thirty patients who had symmetric bilateral fully impacted mandibular third molars were selected. Left teeth were approached with an envelope flap, and right teeth were removed using a modified triangular flap. Postoperative pain and swelling were evaluated until the seventh day by using 2 verbal rating scales.

Results: Statistical analyses showed that there were no significant differences between the 2 incision techniques regarding postoperative pain and swelling (P > .05).

Conclusions: There is no significant difference between the envelope and modified triangular flap regarding postoperative pain and swelling after impacted third molar surgery.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Edema / etiology
  • Female
  • Humans
  • Male
  • Mandible / surgery*
  • Middle Aged
  • Molar, Third / surgery*
  • Pain Measurement
  • Postoperative Complications / etiology*
  • Postoperative Complications / pathology
  • Postoperative Pain / etiology*
  • Surgical Flaps*
  • Tooth Extraction / methods*
  • Tooth, Impacted / surgery*
  • Treatment Outcome
  • Trismus / etiology