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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 March;176(3):119-24

DOI: 10.23736/S0393-3660.16.03321-0

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Comparison of probing depth in the distal surface of second molar following impacted mandibular third molar surgery with enveloped and triangular flaps

Sirous R. FAKOUR 1, Somayeh A. MOGHADAM 2, Mohammad NAEBI 3, Hossein BAZZI 3

1 Department of Oral and Maxillofacial Surgery, Oral and Dental Disease Research Center, Zahedan University of Medical Science, Zahedan, Iran; 2 Department of Periodontology, Oral and Dental Disease Research Center, Zahedan University of Medical Science, Zahedan, Iran; 3 School of Dentistry, Zahedan University of Medical Science, Zahedan, Iran


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BACKGROUND: Human third molar teeth are the most common impacted teeth and numerous complications are caused by impaction of them. Two common methods of surgery are triangular flap and enveloped flap, hence, considering the high prevalence of latent wisdom tooth surgery, in the present study depth probing of the second molar was performed after surgery of mandibular third molar teeth and the results were compared by two methods: enveloped and triangular flap.
METHODS: In this clinical trial, 25 patients with two similar impacted teeth in the lower jaw were selected randomly The patients were underwent surgery with the enveloped flap on one side and on the other side with the triangular flap and after two months they were probed. The results recorded and the data were analyzed by t-test.
RESULTS: In this work, the envelope depth in distal region of second molar before surgery was 2.9±1.1 mm in an enveloped flap and it was 3.2±0.9 mm after 2 months (P>0.05). Moreover, the depth of pocket in triangular flap before surgery was 2.8±1.2 mm and it was 3.1±0.8 mm two months after surgery, which there was not significant statistical difference (P>0.05). The amount of pain was examined 2 months after surgery in both groups, in which no pain was observed in the enveloped flap, while the 4 patients complained for mild pain in triangular flap group, which significant statistical difference was observed between the two groups (P=0.039).
CONCLUSIONS: The results showed that there was no considerable difference in depth of probe in second molar distal after surgery of wisdom by two triangular and enveloped flap methods.


KEY WORDS: Impacted tooth - Third molar - Surgical flaps - Oral surgical procedures

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