Effects of the topical hemostatic agent Ankaferd Blood Stopper on the incidence of alveolar osteitis after surgical removal of an impacted mandibular third molar

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

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Assessment of Electrosensitivity of the Pulp of the Mandibular Second Molar after Surgical Removal of an Impacted Mandibular Third Molar

Journal of Clinical Medicine ◽

10.3390/jcm10163614 ◽

2021 ◽

Vol 10 (16) ◽

pp. 3614

Author(s):

Grzegorz Trybek ◽

Magda Aniko-Włodarczyk ◽

Olga Preuss ◽

Aleksandra Jaroń

Keyword(s):

Oral Surgery ◽

Clinical Status ◽

Third Molar ◽

Surgical Removal ◽

Second Molar ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Wisdom Teeth ◽

Mandibular Second Molar ◽

And Control

Despite the frequent discussion of complications associated with surgical removal of wisdom teeth in the scientific literature, increased mobility of the second molar, which can affect the clinical status of the pulp, is often downplayed or overlooked. This study aimed to evaluate surgical removal of an impacted third molar on the change in the electrosensitivity of the pulp of the mandibular second molar. Sixty patients consecutively presenting to the Department of Oral Surgery to remove an impacted mandibular third molar were included in the study. Clinical examinations of pulp sensitivity of second molars in both the study and control groups were evaluated before the procedure, seven days after the procedure, and eight weeks after the procedure. The surgical removal of an impacted mandibular third molar significantly affected the pulp sensitivity of the second molar.

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Effectiveness Of Anti-Inflammatory Properties Of Combination Of Bromelain,Trypsin And Rutoside With Combination Of Diclofenac And Serratiopeptidase Following Surgical Removal Of Impacted Mandibular Third Molar- A Randomised Double Blinded Clinical Trial

International Journal of Dentistry and Oral Science ◽

10.19070/2377-8075-21000859 ◽

2021 ◽

pp. 4217-4221

Author(s):

M R Muthusekhar ◽

Keyword(s):

Clinical Trial ◽

Third Molar ◽

Surgical Removal ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Anti Inflammatory ◽

Double Blinded

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Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2131 ◽

2017 ◽

Vol 18 (9) ◽

pp. 807-811 ◽

Cited By ~ 6

Author(s):

Shabeer Ahamed ◽

A Rabi ◽

PM Mohamed Haris ◽

Deepu M Panickal ◽

Venith J Pulikkottil ◽

...

Keyword(s):

Patient Satisfaction ◽

Third Molar ◽

Mouth Opening ◽

Postoperative Outcome ◽

Study Groups ◽

Surgical Removal ◽

Triangular Flap ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Significant Difference

ABSTRACT Aim The aim of this study is to compare triangular and envelope flap designs and the postoperative outcome in the surgical removal of impacted mandibular third molar. Materials and methods A total of 50 participants were assessed clinically and were divided randomly into two groups. Group I (participants operated by triangular flap) and group II (participants operated by envelope flap), with 25 participants each between the age group of 20 and 30 years. Patient satisfaction was assessed subjectively using a graded scale from very satisfied to very unsatisfied. The degree of pain was recorded for 7 days with reference to predefined values on visual analog scale (VAS). Trismus was evaluated on the day 3, day 5, and day 7 of the postoperative period in millimeters. Quantitative data were analyzed by unpaired t-test and qualitative data were by Fischer's exact test. Results The mean overall age is 25.5 years. There was no statistically significant difference between the study groups with respect to age. There was no significant association between the patient satisfaction and flap type (p = 0.684). A significant difference between the study groups on 4th, 5th, and 6th days with respect to pain was observed, wherein fewer subjects operated with triangular flap reported pain. A highly significant difference in mouth opening was observed, with triangular flap group participants having a higher mouth opening than envelope flap subjects on day 7. Conclusion The present study indicated that participants operated by triangular flap had a better mouth opening postoperatively compared with envelope flap participants, whereas there were no significant differences in patient satisfaction and pain scores at the end of the 7th day after third molar surgery. Clinical significance Flap design is a significant factor in the surgical removal of impacted third molar, and it influences the severity of complications. Furthermore, it is important for allowing optimal visibility and access to the impacted tooth and also for subsequent healing of the surgically created defect. How to cite this article Rabi A, Haris PMM, Panickal DM, Ahamed S, Pulikkottil VJ, Haris KTM. Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar. J Contemp Dent Pract 2017;18(9):807-811.

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COMPARATIVE EFFICACY OF DEXAMETHASONE WITH LOCAL ANESTHETIC SOLUTION AND 2% LIGNOCAINE WITH 1:200000 ADRENALINE IN REDUCING POST-OPERATIVE DISCOMFORT IN PATIENTS OF SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR: A PROSPECTIVE RANDOMIZED STUDY.

International Journal of Advanced Research ◽

10.21474/ijar01/4156 ◽

2017 ◽

Vol 5 (5) ◽

pp. 630-634

Author(s):

Udit Prakash ◽

Keyword(s):

Local Anesthetic ◽

Randomized Study ◽

Third Molar ◽

Prospective Randomized Study ◽

Surgical Removal ◽

Comparative Efficacy ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Anesthetic Solution ◽

Local Anesthetic Solution

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Amount of Local Anesthetic Solution Used in Mandibular Third Molar Surgery- A Retrospective Analysis

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3424 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1416-1422

Author(s):

Dyna Albert ◽

Muthusekhar M R ◽

Kathiravan Selvarasu

Keyword(s):

Local Anesthesia ◽

Local Anesthetic ◽

Third Molar ◽

Surgical Removal ◽

Impacted Teeth ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Anesthetic Solution ◽

Difficulty Index ◽

Local Anesthetic Solution

Mandibular third molar is the most commonly impacted teeth and surgical removal of them is the most common minor oral surgical procedure done under local anesthesia in the outpatient department. For a comfortable patient experience and best surgical results, emphasis should be made on a pain-free procedure. In this study, we aim to analyse retrospectively the amount of local anesthetic solution used during surgical removal of impacted mandibular third molar and to find if any association between the amount of local anesthesia used and Pederson's difficulty Index (PDI) of the impacted teeth. Retrospective observational study conducted among patients reporting to the Department of Oral and Maxillofacial Surgery, Chennai for the surgical removal of impacted mandibular third molar between the study period June 2019 to March 2020. 658 patients who fulfilled the inclusion and exclusion criteria were included in the study. Data regarding patients demography, site of impaction, Pederson Difficulty Index of impacted teeth, amount of local anesthesia used were rewarded. The data were statistically analysed using descriptive statistics in IBM SPSS version 20 software. Study population included 58.4% males and 41.6% females, majority of them in the 3rd decade of life. (53.6%) with mean age 29.1 years. Of 658 impacted teeth analysed 54.4% were moderately difficult followed by minimally difficult 38.4% and very difficult 7.1% according to PDI. A significant association was found between the amount of local anesthesia used and PDI score of impacted teeth. In 64.7% cases 2ml of local anesthesia was sufficient to achieve anesthesia during the procedure. 2ml of local anesthesia is sufficient to achieve adequate anesthetic effect in surgical removal of impacted molar. As PDI increased, the amount of local anesthesia used also increased.

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