L Ottria1, F Luciani2, P Piva2, A M Alagna3, C Arcuri4, F N Bartuli5. 1. MD, DDS, MSc University of Rome "Tor Vergata", Department of Clinical Science and Translational Medicine, Rome, Italy. 2. DDS, PhD University of Rome "Tor Vergata", Rome, Italy. 3. DDS, University of Rome "Tor Vergata", Rome, Italy. 4. MD, DDS, Resident Professor in Periodontics. Director and Chief UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli" Hospital. Co-Director PhD Programm in "Material for Health, Environment and Energy" University of Rome "Tor Vergata", Rome, Italy. 5. DDS, PhD, UOCC Odontostomatology "S. Giovanni Calibita-Fatebenefratelli", University of Rome "Tor Vergata", Rome, Italy.
Abstract
AIM: The purpose of the study was to analyze the healing of the deep and superficial lower first and second molars periodontium, after the surgical extraction of the contiguous impacted third molar, comparing 3 mucoperiosteal flap designs. MATERIALS AND METHODS: 150 patients which had to undergo a impacted lower third molar surgery were enrolled in this study. They were checked from day 0 to day 90, in order to focus on the recovery quality of the soft tissues around the lower second molar, comparing 3 different flap designs. RESULTS: No intraoperatory incident happened. The complete recovery of the periodontium around the second molar has been shown in each patient after 90 days from surgery and each adverse reaction happened within the sixth week after surgery. Only 2 slight gengival recessions 0,5 mm have been find out. CONCLUSIONS: The impacted third molar surgery is an operation that, if rightly programmed and performed, is relatively safe. Besides, the correct handling and management of periodontium around the second molar and the choice of the flap type to be used support a correct recovery on the second molar periodontium, avoiding any long-term damage. CLINICAL SIGNIFICANCE: This study wanted to analyze the healing of the deep and superficial lower second molar periodontium, after the impacted lower third molar surgery. In order to improve the surgical technique used for lower third molar germectomies, we wanted to compare 3 different kind of flap designs.
AIM: The purpose of the study was to analyze the healing of the deep and superficial lower first and second molars periodontium, after the surgical extraction of the contiguous impacted third molar, comparing 3 mucoperiosteal flap designs. MATERIALS AND METHODS: 150 patients which had to undergo a impacted lower third molar surgery were enrolled in this study. They were checked from day 0 to day 90, in order to focus on the recovery quality of the soft tissues around the lower second molar, comparing 3 different flap designs. RESULTS: No intraoperatory incident happened. The complete recovery of the periodontium around the second molar has been shown in each patient after 90 days from surgery and each adverse reaction happened within the sixth week after surgery. Only 2 slight gengival recessions 0,5 mm have been find out. CONCLUSIONS: The impacted third molar surgery is an operation that, if rightly programmed and performed, is relatively safe. Besides, the correct handling and management of periodontium around the second molar and the choice of the flap type to be used support a correct recovery on the second molar periodontium, avoiding any long-term damage. CLINICAL SIGNIFICANCE: This study wanted to analyze the healing of the deep and superficial lower second molar periodontium, after the impacted lower third molar surgery. In order to improve the surgical technique used for lower third molar germectomies, we wanted to compare 3 different kind of flap designs.
Entities:
Keywords:
impacted third molar surgery; lower second molar periodontium
Authors: Elio H Shinohara; Shajadi Carlos Pardo Kaba; Irineu Gregnanin Pedron; Jose Carlos Petorossi Imparato Journal: Indian J Dent Res Date: 2010 Apr-Jun
Authors: Alberto Materni; Nicola De Angelis; Nicolò Di Tullio; Esteban Colombo; Stefano Benedicenti; Andrea Amaroli Journal: J Clin Med Date: 2021-02-04 Impact factor: 4.241