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 (Internet)
; 27(6): e518-e524, Nov. 2022. ilus, tab
Article
in English
| IBECS
| ID: ibc-213106
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
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. (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Tooth, Impacted
/
Molar, Third
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2022
Document type:
Article
Institution/Affiliation country:
Head of the Mater Dei Hospital Oral and Maxillofacial Surgery Service/Brazil
/
FHEMIG+Brazil
/
Pontifical Catholic University of Minas Gerais, PUC-MG/Brazil
/
UNIBH/Brazil
/
University of São Paulo FORP-USP/Brazil