Affiliation:
1. Oral Surgery Office Dr. Carsten Nix, Landstuhl, Germany
Abstract
Abstract
Introduction Although surgical extraction of retained lower third molars is one of the most frequently undertaken surgical interventions in oral and maxillofacial surgery, presented in numerous scientific publications every year, there is no unanimous standpoint on the type of flap providing optimal results. This article presents a technique, modified through tunneling involving an envelope and triangular flap.
Clinical Case This article presents a clinical case of extraction of tooth 48 describing step by step in details the implementation of a tunneled envelope flap.
Discussion Each of those two techniques—envelope flap and triangular flap—has its advantages and disadvantages. The presented technique aims to combine the positive features of those two frequently implemented techniques, adding a novel tunneling element.
Conclusion This article aims to demonstrate and describe in details the technique, developed by the author. Further studies are necessary to analyze the results of its implementation.
Reference11 articles.
1. Influence of flap design on periodontal healing of second molars after extraction of impacted mandibular third molars;A L Rosa;Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2002
2. Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population;M A Hashemipour;Med Oral Patol Oral Cir Bucal,2013
3. Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis;P Glera-Suárez;Med Oral Patol Oral Cir Bucal,2020
4. Trismus and pain after removal of a lower third molar. Effects of raising a mucoperiosteal flap;A García García;Med Oral,2001
5. To compare standard incision and comma shaped incision and its influence on post-operative complications in surgical removal of impacted third molars;B S Kumar;J Clin Diagn Res,2013