Effects of Flap Design on the Periodontal Health of Second Lower Molars After Impacted Third Molar Extraction

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2022 Dec 23

PMID 36553934

Authors

Pier Carmine Passarelli

Michele Antonio Lopez

Andrea Netti

Edoardo Rella

Marta De Leonardis

Luigi Svaluto Ferro

Andrea Lopez

Franklin Garcia-Godoy

Antonio DAddona

Affiliations

Soon will be listed here.

Abstract

The purpose of this study was to compare the envelope flap and triangular flap for impacted lower third molar (M3) extraction and their effects on the periodontal health of adjacent second molars (M2). A population of 60 patients undergoing M3 extraction with the envelope flap (Group A) or triangular flap (Group B) was analyzed, comparing probing pocket depth (PPD), clinical attachment level (CAL), and gingival recession (REC) recorded at six sites (disto-lingual, mid-lingual, mesio-lingual, disto-vestibular, mid-vestibular, and mesio-vestibular) before (T) and 6 months after extraction (T). There was a statistically significant mean difference in PPD and CAL at two sites, disto-vestibular (dv) and disto-lingual (dl), between values recorded before and 6 months after surgery for either Group A or Group B. Furthermore, for the same periodontal records, at 6 months after surgery, a statistically significant difference was recorded between younger and older patients, implying that the healing process was more beneficial for younger patients. No significant differences were found between the two groups (A and B) in PPDdl, PPDdv, CALdl, and CALdv, confirming that the mucoperiosteal flap design does not influence the periodontal healing process of second molars.

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