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Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis

BACKGROUND: To review the literature on the effect of different surgical flaps upon patient morbidity (pain perception, trismus, swelling and osteitis) after impacted third molar extraction. MATERIAL AND METHODS: An electronic and complementary search of main databases and grey literature was perfor...

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Autores principales: Glera-Suárez, Pablo, Soto-Peñaloza, David, Peñarrocha-Oltra, David, Peñarrocha-Diago, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103454/
https://www.ncbi.nlm.nih.gov/pubmed/32062667
http://dx.doi.org/10.4317/medoral.23320
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author Glera-Suárez, Pablo
Soto-Peñaloza, David
Peñarrocha-Oltra, David
Peñarrocha-Diago, Miguel
author_facet Glera-Suárez, Pablo
Soto-Peñaloza, David
Peñarrocha-Oltra, David
Peñarrocha-Diago, Miguel
author_sort Glera-Suárez, Pablo
collection PubMed
description BACKGROUND: To review the literature on the effect of different surgical flaps upon patient morbidity (pain perception, trismus, swelling and osteitis) after impacted third molar extraction. MATERIAL AND METHODS: An electronic and complementary search of main databases and grey literature was performed up to January 2019 to retrieve randomized clinical trials. The Cochrane risk of bias assessment tool was used for methodological appraisal. A random-effects meta-analysis was conducted of pain perception and trismus. RESULTS: From the initially 1314 screened studies, only 11 were included in the qualitative synthesis, and 5 in the meta-analysis. There were no statistically significant differences in pain between the envelope and triangular flap designs over time, except on the sixth postoperative day, when the envelope flap proved more painful. Regarding trismus, statistically significant differences were observed on the seventh postoperative day, with greater mouth opening in the envelope flap group than in the triangular flap group. There were no clear differences in swelling and osteitis among the flap designs. CONCLUSIONS: Despite its limitations, the present meta-analysis found no clear differences in patient morbidity between the different flap designs. Key words:Impacted third molar, triangular flap, envelope flap, surgical flap, pain perception, trismus.
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spelling pubmed-71034542020-04-02 Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis Glera-Suárez, Pablo Soto-Peñaloza, David Peñarrocha-Oltra, David Peñarrocha-Diago, Miguel Med Oral Patol Oral Cir Bucal Review BACKGROUND: To review the literature on the effect of different surgical flaps upon patient morbidity (pain perception, trismus, swelling and osteitis) after impacted third molar extraction. MATERIAL AND METHODS: An electronic and complementary search of main databases and grey literature was performed up to January 2019 to retrieve randomized clinical trials. The Cochrane risk of bias assessment tool was used for methodological appraisal. A random-effects meta-analysis was conducted of pain perception and trismus. RESULTS: From the initially 1314 screened studies, only 11 were included in the qualitative synthesis, and 5 in the meta-analysis. There were no statistically significant differences in pain between the envelope and triangular flap designs over time, except on the sixth postoperative day, when the envelope flap proved more painful. Regarding trismus, statistically significant differences were observed on the seventh postoperative day, with greater mouth opening in the envelope flap group than in the triangular flap group. There were no clear differences in swelling and osteitis among the flap designs. CONCLUSIONS: Despite its limitations, the present meta-analysis found no clear differences in patient morbidity between the different flap designs. Key words:Impacted third molar, triangular flap, envelope flap, surgical flap, pain perception, trismus. Medicina Oral S.L. 2020-03 2020-02-17 /pmc/articles/PMC7103454/ /pubmed/32062667 http://dx.doi.org/10.4317/medoral.23320 Text en Copyright: © 2020 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Glera-Suárez, Pablo
Soto-Peñaloza, David
Peñarrocha-Oltra, David
Peñarrocha-Diago, Miguel
Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title_full Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title_fullStr Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title_full_unstemmed Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title_short Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis
title_sort patient morbidity after impacted third molar extraction with different flap designs. a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103454/
https://www.ncbi.nlm.nih.gov/pubmed/32062667
http://dx.doi.org/10.4317/medoral.23320
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