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Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps

Background: As specific flap designs performed for lower third molar extractions usually influence periodontal healing of the adjacent first and second molars, this study aimed to evaluate the periodontal conditions of these sites after 6 months post-surgery. Methods: Forty patients, aged 14–30 year...

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Autores principales: Pardo, Alessia, Signoriello, Annarita, Corrà, Martina, Favero, Vittorio, De’Manzoni Casarola, Rachele, Albanese, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672238/
https://www.ncbi.nlm.nih.gov/pubmed/38002631
http://dx.doi.org/10.3390/jcm12227017
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author Pardo, Alessia
Signoriello, Annarita
Corrà, Martina
Favero, Vittorio
De’Manzoni Casarola, Rachele
Albanese, Massimo
author_facet Pardo, Alessia
Signoriello, Annarita
Corrà, Martina
Favero, Vittorio
De’Manzoni Casarola, Rachele
Albanese, Massimo
author_sort Pardo, Alessia
collection PubMed
description Background: As specific flap designs performed for lower third molar extractions usually influence periodontal healing of the adjacent first and second molars, this study aimed to evaluate the periodontal conditions of these sites after 6 months post-surgery. Methods: Forty patients, aged 14–30 years, were included. Surgical extraction of the lower third molar was performed through a flap with papilla detachment (a modified envelope technique with detachment of gingival papilla between the first and second molars) or a trapezoidal flap (characterized by mesial- and distal-releasing incisions). Periodontal parameters at the first and second molar sites were assessed for visible plaque index, bleeding on probing, recession, probing pocket depth, and clinical attachment loss before surgery (T0), one month (T1), and six months after extraction (T2). Results: No statistical differences were found for the plaque and bleeding indexes between the two flaps at each observation time and considering both time intervals. For recession, no statistical differences were found between the two flaps considering the final time interval. For probing pocket depth at the second molar site, both techniques registered a significant increase between T0 and T1, followed by a decrease up to T2. For clinical attachment loss, mean values assessed for the first and second molar sites demonstrated evidently increased values between T0 and T1, followed by moderate decreases up to T2. Conclusions: Considering short (T1) and mid-term (T2) follow-ups, a specific flap design does not seem to particularly influence periodontal healing six months after surgery.
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spelling pubmed-106722382023-11-09 Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps Pardo, Alessia Signoriello, Annarita Corrà, Martina Favero, Vittorio De’Manzoni Casarola, Rachele Albanese, Massimo J Clin Med Article Background: As specific flap designs performed for lower third molar extractions usually influence periodontal healing of the adjacent first and second molars, this study aimed to evaluate the periodontal conditions of these sites after 6 months post-surgery. Methods: Forty patients, aged 14–30 years, were included. Surgical extraction of the lower third molar was performed through a flap with papilla detachment (a modified envelope technique with detachment of gingival papilla between the first and second molars) or a trapezoidal flap (characterized by mesial- and distal-releasing incisions). Periodontal parameters at the first and second molar sites were assessed for visible plaque index, bleeding on probing, recession, probing pocket depth, and clinical attachment loss before surgery (T0), one month (T1), and six months after extraction (T2). Results: No statistical differences were found for the plaque and bleeding indexes between the two flaps at each observation time and considering both time intervals. For recession, no statistical differences were found between the two flaps considering the final time interval. For probing pocket depth at the second molar site, both techniques registered a significant increase between T0 and T1, followed by a decrease up to T2. For clinical attachment loss, mean values assessed for the first and second molar sites demonstrated evidently increased values between T0 and T1, followed by moderate decreases up to T2. Conclusions: Considering short (T1) and mid-term (T2) follow-ups, a specific flap design does not seem to particularly influence periodontal healing six months after surgery. MDPI 2023-11-09 /pmc/articles/PMC10672238/ /pubmed/38002631 http://dx.doi.org/10.3390/jcm12227017 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pardo, Alessia
Signoriello, Annarita
Corrà, Martina
Favero, Vittorio
De’Manzoni Casarola, Rachele
Albanese, Massimo
Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title_full Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title_fullStr Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title_full_unstemmed Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title_short Six-Month Soft Tissues Healing after Lower Third Molar Extraction: Comparison of Two Different Access Flaps
title_sort six-month soft tissues healing after lower third molar extraction: comparison of two different access flaps
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672238/
https://www.ncbi.nlm.nih.gov/pubmed/38002631
http://dx.doi.org/10.3390/jcm12227017
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