Clinical evaluation of mandibular impacted third molar removed without surgical flaps

doi:10.19439/j.sjos.2020.02.0021

Abstract

Abstract: PURPOSE: To evaluate the effect of impacted mandibular third molars extracted without surgical flaps. METHODS: Ninety-eight patients with impacted mandibular third molars were collected. A total of 112 teeth were divided into non-surgical flap group and surgical flap group. In non-surgical flap group, the teeth were removed by transection method or T-shaped truncation method, and triangular flaps were designed in the surgical flap group. Postoperative complications at 1 day, 3 days, and 1 week after operation were recorded, and statistical analysis was performed using SPSS 17.0 software package. RESULTS: Complications such as hemorrhage, swelling, pain, mouth opening limitation and impact on daily life at postoperative 1 day and 3 day in non-surgical flap group were significantly lower than in surgical flap group (P<0.05).There was no significant difference in average operation time between the two groups (P>0.05). CONCLUSIONS: Impacted mandibular third molar can be removed without surgical flaps in selected patients. It helps alleviate patients'postoperative complications and improve their quality of life.

Key words: Impacted teeth, Non-surgical flap, Complications, Extraction of teeth

CLC Number:

R782.1

ZHOU Jun-bo, WU Yan-hui, ZHANG Shun-chu, WANG Ming, HAN Yuan. Clinical evaluation of mandibular impacted third molar removed without surgical flaps[J]. Shanghai Journal of Stomatology, 2020, 29(2): 221-224.

References

[1] de Santana-Santos T, de Souza-Santos aA, Martins-Filho PR, et al. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables[J]. Med Oral Patol Oral Cir Bucal, 2013, 18(1): e65-e70.
[2] 王东苗. 下颌阻生第三磨牙拔除相关手术风险评估与预防的临床研究[D].南京: 南京医科大学, 2017.
[3] 吴江,许超.微创拔牙术的临床应用[J]. 现代口腔医学杂志, 2018, 32(6): 369-372.
[4] 肖伦旺, 王治平. 微创拔牙技术在下颌阻生智牙拔除中的临床效果[J]. 中外医学研究, 2018, 16(23): 163-164.
[5] Koerner KR.Routine and complicated extractions: avoiding and managing complications[J]. Alpha Omegan, 2013, 106(3-4): 59-65.
[6] Arora SS, Phull T, Kumar I, et al.A comparative study of the effect of two dosages of submucosal injection of dexamethasone on postoperative discomfort after third molar surgery: a prospective randomized study[J]. Oral Maxillofac Surg, 2018, 22(2): 225-230.
[7] 齐晓敏, 翟军, 闫淑娟, 等. 下颌第三磨牙拔除术后并发症预防中冠周局部注射地塞米松的应用效果观察[J]. 全科口腔医学电子杂志, 2016, 3(4): 114-116.
[8] Ricard AS, Nau O, Veyret A, et al.Comparison between closure and absence of closure after removal of fully impacted mandibular third molar: a prospective randomized study[J]. Rev Stomatol Chir Maxillofac Chir Orale, 2015, 116(1): 12-17.
[9] 叶周熹, 杨驰. 减轻下颌阻生第三磨牙拔除术后反应的手术措施[J]. 中华口腔医学研究杂志(电子版), 2014, 8(3): 252-255.
[10] Pachipulusu, PK, Manjula S. Comparative study of primary and secondary closure of the surgical wound after removal of impacted mandibular third molars[J]. Oral Maxillofac Surg, 2018, 22(3): 261-266.
[11] Gay-Escoda C, Gomez-Santos L, Sanchez-Torres A, et al.Effect of the suture technique on postoperative pain, swelling and trismus after removal of lower third molars: A randomized clinical trial[J]. Med Oral Patol Oral Cir Bucal, 2015, 20(3): e372-377.
[12] Sortino F, Cicciù M.Strategies used to inhibit postoperative swelling following removal of impacted lower third molar[J]. Dent Res J(Isfahan), 2011, 8(4): 162-171.
[13] 宇文婷, 鲁颖娟, 梁衍灿, 等. 下颌第三磨牙拔除术的手术难度与术后疼痛、开口受限的相关性研究[J]. 中国医学创新, 2014, 11(14): 13-16.