Impacted Mandibular Third Molar Lingually Based Flap Design: A Case Report
Mandibular third molar is considered the most common impacted tooth in the oral cavity. Removal of the impacted lower wisdom became a routine surgical procedure in the dental office. Because of The increased number of surgical removals of impacted mandibular third molar a variety of complications can occur postoperatively. One of these complications is flap separation and exposure of the alveolar bone leading to increase the incidence of infection and postoperative pain. This problem encouraged the surgeons to create different flap designs to improve the healing process of the soft tissue. In my article I discuss a case report showing surgical removal of impacted lower third molar using uncommon flap design in order to enhance the proper healing of the soft tissue in the surgical site.
Roode GJ, Bütow K. An alternative surgical flap design for impacted third molars: a comparison of two different surgical techniques. SADJ. 2010 Jul;65(6):246, 248-51. PMID: 20879647.
Baqain ZH, Al-Shafii A, Hamdan AA, Sawair FA. Flap design and mandibular third molar surgery: a split mouth randomized clinical study. Int J Oral Maxillofac Surg. 2012 Aug;41(8):1020-4. doi: 10.1016/j.ijom.2012.02.011. Epub 2012 Mar 15. PMID: 22424708.
Menziletoglu D, Guler AY, Basturk F, Isik BK, Erdur EA. Comparison of two different flap designs for bilateral impacted mandibular third molar surgery. J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):368-372. doi: 10.1016/j.jormas.2019.08.006. Epub 2019 Aug 30. PMID: 31476539.
Arindra, P.K., Indrapradana, A. 2018. Comparison of three flap designs on postoperative complication after third molar surgery. Intisari Sains Medis 9(2): 89 94. DOI: 10.1556/ism.v9i2.267
ALawur, M., Noval, R. (2018). 'Clinical evaluation of the effect of standard and modified standard flaps design in the removal of mesio-angular impacted lower 3rd molar', Egyptian Dental Journal, 64(Issue 1 - January (Oral Surgery)), pp. 171-177. doi: 10.21608/edj.2018.77069.
Hu T, Zhang J, Ma JZ, Shao LN, Gu YF, Li DQ, Jiang L, Yang YQ. A novel method in the removal of impacted mandibular third molar: buccal drainage. Sci Rep. 2017 Oct 3;7(1):12602. doi: 10.1038/s41598-017-12722-8. PMID: 28974709; PMCID: PMC5626681.
Şimşek Kaya G, Yapıcı Yavuz G, Saruhan N. The influence of flap design on sequelae and quality of life following surgical removal of impacted mandibular third molars: A split-mouth randomised clinical trial. J Oral Rehabil. 2019 Sep;46(9):828-835. doi: 10.1111/joor.12814. Epub 2019 May 14. PMID: 31050816.
Hassan B, Al-Khanati NM, Bahhah H. Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial. Med Oral Patol Oral Cir Bucal. 2020 Sep 1;25(5):e660-e667. doi: 10.4317/medoral.23666. PMID: 32683384; PMCID: PMC7473433.
Yolcu U, Acar AH. Comparison of a new flap design with the routinely used triangular flap design in third molar surgery, Int J Oral Maxillofac Surg (2015), http://dx.doi.org/10.1016/j.ijom.2015.07.007.
Pogrel MA, Goldman KE. Lingual flap retraction for third molar removal. J Oral Maxillofac Surg. 2004 Sep;62(9):1125-30. doi: 10.1016/j.joms.2004.04.013. PMID: 15346365.
Xie Q, Wei S, Zhou N, Huang X. Modified envelope flap, a novel incision design, can relieve complications after extraction of fully horizontal impacted mandibular third molar. J Dent Sci. 2021 Mar;16(2):718-722. doi: 10.1016/j.jds.2020.06.022. Epub 2020 Sep 18. PMID: 33854724; PMCID: PMC8025144.
Pippi R, Spota A, Santoro M. Prevention of Lingual Nerve Injury in Third Molar Surgery: Literature Review. J Oral Maxillofac Surg. 2017 May;75(5):890-900. doi: 10.1016/j.joms.2016.12.040. Epub 2017 Jan 4. PMID: 28142010.
Pasha Z, Naqvi ZA, Shaikh S, Khan N. A Comparative Evaluation of Comma-shaped Incision with Standard Incision in Mandibular Third Molar Surgery: A Clinical Study. J Orofac Res 2015;5(1):12-17.
Izquierdo Gómez K, González Navarro B, García Ortiz de Zárate F, Arranz Obispo C, López López J. et al., The Importance of Flap Design in Third Molar Surgery: A systematic Review. Biomed J Sci & Tech Res 11(5)-2018. BJSTR. MS.ID.002164. DOI: 10.26717/ BJSTR.2018.11.002164.