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Double blind randomized clinical trial comparing minimally- invasive envelope flap and conventional envelope flap on impacted lower third molar surgery.
Costa, S-M; Ribeiro, B-C; Gonçalves, A-S; Araújo, L-M; Toledo, G-L; Amaral, M-B.
Afiliación
  • Costa SM; Oral and Maxillofacial Surgery PhD Program University of São Paulo Ribeirão Preto- SP, Brazil samuel.macedo.costa@gmail.com.
Med Oral Patol Oral Cir Bucal ; 27(6): e518-e524, 2022 Nov 01.
Article en En | MEDLINE | ID: mdl-36173726
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 AND METHODS: 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.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Tercer Molar Tipo de estudio: Clinical_trials / Etiology_studies Aspecto: Patient_preference Límite: Adolescent / Humans Idioma: En Revista: Med Oral Patol Oral Cir Bucal Asunto de la revista: ODONTOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: España

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Tercer Molar Tipo de estudio: Clinical_trials / Etiology_studies Aspecto: Patient_preference Límite: Adolescent / Humans Idioma: En Revista: Med Oral Patol Oral Cir Bucal Asunto de la revista: ODONTOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: España