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Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study

This study aimed to compare a flapless surgical approach (FSA) with a traditional envelope flap (traditional approach (TA)). Every patient was treated with two approaches: TA and FSA. The primary outcome variables were both the discomfort during the post-operative convalescence and the correct final...

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Autores principales: Materni, Alberto, De Angelis, Nicola, Di Tullio, Nicolò, Colombo, Esteban, Benedicenti, Stefano, Amaroli, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914559/
https://www.ncbi.nlm.nih.gov/pubmed/33557388
http://dx.doi.org/10.3390/jcm10040593
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author Materni, Alberto
De Angelis, Nicola
Di Tullio, Nicolò
Colombo, Esteban
Benedicenti, Stefano
Amaroli, Andrea
author_facet Materni, Alberto
De Angelis, Nicola
Di Tullio, Nicolò
Colombo, Esteban
Benedicenti, Stefano
Amaroli, Andrea
author_sort Materni, Alberto
collection PubMed
description This study aimed to compare a flapless surgical approach (FSA) with a traditional envelope flap (traditional approach (TA)). Every patient was treated with two approaches: TA and FSA. The primary outcome variables were both the discomfort during the post-operative convalescence and the correct final recovery of the impacted area. The secondary outcome variable was the average duration of the surgery. Post-operative pain and oedema were recorded. The measurements of soft tissue interface toward the distobuccal edge of the second molar were taken by periodontal probe before surgery (baseline) and 8 weeks after surgery. Statistical software was used to evaluate the data; a p-value < 0.05 was considered statistically significant. Twenty-four teeth of 12 patients (six Caucasian males and six Caucasian females, aged 23 ± 4 (17–30) years) with both lower impacted third molars (Ms3) were analysed. Considering an alpha error 0.05 that sample size allows power from 0.80 to 0.90, depending on the variable evaluated. Concerning attached gingiva, oedema and pain, the linear mixed model resulted in a statistically significant difference between the TA and FSA (p = 0.003; p < 0.01; and p = 0.018, respectively). Conversely, the model did not show a difference (p = 0.322) if pocket probing depth was considered. The FSA procedure was faster (p < 0.05) than the TA procedure (17 min and 8 s (±6 s) vs. 28 min and 6 s (±4 s), respectively). The results suggest that the FSA could be a suitable option for improving the surgical removal of lower Ms3. However, additional randomized controlled trial studies are necessary to confirm the reliability of our procedure and to verify its suitability in more complex Ms3 classifications.
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spelling pubmed-79145592021-03-01 Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study Materni, Alberto De Angelis, Nicola Di Tullio, Nicolò Colombo, Esteban Benedicenti, Stefano Amaroli, Andrea J Clin Med Article This study aimed to compare a flapless surgical approach (FSA) with a traditional envelope flap (traditional approach (TA)). Every patient was treated with two approaches: TA and FSA. The primary outcome variables were both the discomfort during the post-operative convalescence and the correct final recovery of the impacted area. The secondary outcome variable was the average duration of the surgery. Post-operative pain and oedema were recorded. The measurements of soft tissue interface toward the distobuccal edge of the second molar were taken by periodontal probe before surgery (baseline) and 8 weeks after surgery. Statistical software was used to evaluate the data; a p-value < 0.05 was considered statistically significant. Twenty-four teeth of 12 patients (six Caucasian males and six Caucasian females, aged 23 ± 4 (17–30) years) with both lower impacted third molars (Ms3) were analysed. Considering an alpha error 0.05 that sample size allows power from 0.80 to 0.90, depending on the variable evaluated. Concerning attached gingiva, oedema and pain, the linear mixed model resulted in a statistically significant difference between the TA and FSA (p = 0.003; p < 0.01; and p = 0.018, respectively). Conversely, the model did not show a difference (p = 0.322) if pocket probing depth was considered. The FSA procedure was faster (p < 0.05) than the TA procedure (17 min and 8 s (±6 s) vs. 28 min and 6 s (±4 s), respectively). The results suggest that the FSA could be a suitable option for improving the surgical removal of lower Ms3. However, additional randomized controlled trial studies are necessary to confirm the reliability of our procedure and to verify its suitability in more complex Ms3 classifications. MDPI 2021-02-04 /pmc/articles/PMC7914559/ /pubmed/33557388 http://dx.doi.org/10.3390/jcm10040593 Text en © 2021 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Materni, Alberto
De Angelis, Nicola
Di Tullio, Nicolò
Colombo, Esteban
Benedicenti, Stefano
Amaroli, Andrea
Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title_full Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title_fullStr Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title_full_unstemmed Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title_short Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study
title_sort flapless surgical approach to extract impacted inferior third molars: a retrospective clinical study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914559/
https://www.ncbi.nlm.nih.gov/pubmed/33557388
http://dx.doi.org/10.3390/jcm10040593
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