Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Comparison of Two Different Flap Design on Impacted Mandibular Third Molar Surgery: A Split Mouth Randomized Clinical Study
Gömülü Mandibular Üçüncü Molar Cerrahisinde Kullanılan İki Farklı Flep Tasarımının Karşılaştırılması: Split Mouth Randomize Klinik Çalışma
Kevser SANCAKa , Halil ANLARb , Güzin Neda HASANOĞLU ERBAŞARa
aDepartment of Oral and Maxillofacial Surgery, Ankara Yıldırım Beyazıt University Faculty of Dentistry, Ankara, Türkiye
bPrivate Dentist, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(4):510-7
doi: 10.5336/dentalsci.2023-99167
Article Language: EN
Full Text
ABSTRACT
 Objective: Different mucoperiosteal flap designs are suggested throughout the extraction of the impacted lower third molar to decrease postoperative complications. The aim of the current study compare triangular flap and the envelope flap related to pain, trismus and edema on mandibular third molar extraction. Material and Methods: The present prospective split mouth study included 24 patients. Impacted third molar on one side of jaw was be extracted with a triangular flap, other side was be extracted with an envelope flap. In order to evaluate the edema and trismus, measurements were be made on the operation day, day 1, day 3 and day 7 with caliper. Patients marked on a 100 mm scale on the 1st, 3rd and 7th days after the operation to evaluate the pain and difficulty chewing in the postoperative period. Results: One of 24 patients were excluded from the study because vasovagal syncope developed during the procedure, and the study was completed with 23 patients. There was no statistically significant difference between the triangular and envelope flap groups in terms of edema and pain (p>0.05) (p>0.05). No statistically significant difference was found between 2 groups in terms of pain measurements and difficulty chewing on the 1st day, 3rd day, 7th days (p>0.05) (p>0.05). Conclusion: In conclusion, the current study observed that flap design had no effect on postoperative complications. According to the results of this study, flap design in the extraction of impacted wisdom teeth should be determined with the surgeon's preference.

Keywords: Impacted tooth; postoperative complications; morbidity
ÖZET
 Amaç: Postoperatif komplikasyonları azaltmak için gömülü alt üçüncü azı dişinin çekimi sırasında farklı mukoperiosteal flep tasarımları önerilmektedir. Bu çalışmanın amacı, mandibular üçüncü molar diş çekiminde ağrı, trismus ve ödem ile ilişkili triangular flep ile zarf flebinin karşılaştırılmasıdır. Gereç ve Yöntemler: Mevcut prospektif split-mouth çalışmaya 24 hasta dâhil edildi. Çenenin bir tarafındaki gömülü üçüncü molar dişi triangular flep ile diğer tarafı ise zarf flebiyle çekilmiştir. Ödem ve trismusun değerlendirilmesi amacıyla operasyon günü, 1. gün, 3. gün ve 7. günde cetvel ile ölçümler yapıldı. Ameliyat sonrası dönemdeki ağrı ve çiğneme güçlüğünü değerlendirmek için hastalar ameliyat sonrası 1, 3 ve 7. günlerde 100 mm'lik bir ölçekte işaretlendi. Bulgular: İşlem sırasında vazovagal senkop gelişmesi nedeniyle 24 hastadan 1'i çalışmadan çıkarıldı ve çalışma 23 hasta ile tamamlandı. Triangular flep ve zarf flep grupları arasında ödem ve ağrı açısından istatistiksel olarak anlamlı fark yoktu (p>0,05) (p>0,05). 1. gün, 3. gün ve 7. gün ağrı ölçümleri ve çiğneme güçlüğü açısından 2 grup arasında istatistiksel olarak anlamlı fark bulunamadı (p>0,05) (p>0,05). Sonuç: Sonuç olarak bu çalışmada, flep tasarımının postoperatif komplikasyonlar üzerinde hiçbir etkisinin olmadığı gözlemlendi. Bu çalışmanın sonuçlarına göre gömülü 20 yaş dişlerin çekiminde, flep tasarımı cerrahın tercihine göre belirlenmelidir.

Anahtar Kelimeler: Gömülü diş; postoperatif komplikasyonlar; morbidite
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