Double blind randomized clinical trial comparing minimally- invasive envelope flap and conventional envelope flap on impacted lower third molar surgery.
Med Oral Patol Oral Cir Bucal
; 27(6): e518-e524, 2022 Nov 01.
Article
in En
| MEDLINE
| ID: mdl-36173726
ABSTRACT
BACKGROUND:
The latest trend in surgery is to look for minimally invasive procedures, with fewer complications and a shorter recovery time. This study aims to compare the minimally- invasive envelope flap, with smaller incision and fewer dissection and the conventional envelope flap, with a 20mm incision, on impacted mandibular third molar surgery, focusing on the hypothesis that there were no differences in postoperative outcomes. MATERIAL ANDMETHODS:
A double-blind randomized clinical trial was designed to compare both incisions, focused on determining the approach with minor postoperative side-effects and minor impact on quality-of-life. A total of 60 patients were enrolled for the study if their presented impacted mandibular third molar and was 18-years-old or more. Both groups were evaluated from time elapsed on the surgery, maximum mouth opening, swelling and quality of life assessment.RESULTS:
The flap choice influenced facial swelling (p=0,03), pain on the first three days (p=0,037), interference with oral hygiene (p=0,019) and discomfort on speech (p=0,07). Chewing, swallowing, trismus, pain after seven days, postoperative complications and other quality-of-life arrangements were no different between groups.CONCLUSIONS:
The minimally- invasive envelope flap could lead to a less painful experience for the patient, with fewer impact on the oral hygiene and speech discomfort.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tooth, Impacted
/
Molar, Third
Type of study:
Clinical_trials
/
Etiology_studies
Aspects:
Patient_preference
Limits:
Adolescent
/
Humans
Language:
En
Journal:
Med Oral Patol Oral Cir Bucal
Journal subject:
ODONTOLOGIA
Year:
2022
Document type:
Article
Affiliation country:
Brasil