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document
Influence of two different flap designs on the sequelae of mandibular third molar surgery . PURPOSE The aim of this study was to compare the influence of triangular and envelope flaps on trismus , pain , and facial swelling after mandibular third molar surgery . METHODS Twenty healthy patients with bilateral , symmetrically impacted mandibular third molars were included in this double-blinded , prospective , cross-over , randomized study . The patients were operated with envelope flap on one side and triangular flap on the other side . Trismus was determined by measuring maximum interincisal opening , and facial swelling was evaluated using a tape measuring method . Pain was determined using visual analog scale ( VAS ) and recording the number of pain pills taken . RESULTS The facial swelling measurements and VAS scores were lower in the envelope flap group compared to the triangular flap group . There was no significant difference between the two flap designs in operation time , maximum interincisal opening , and the number of analgesics taken . CONCLUSION Envelope flap yields to less facial swelling and reduced VAS scores in comparison to triangular flap . There is no clinical difference in trismus between the two flap designs . Despite the higher VAS scores with triangular flap , no additional doses of analgesics were required in triangular flap .
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Intervention_Surgical
operated with envelope flap on one side and triangular flap on the other side . Trismus was determined by measuring maximum interincisal opening , and facial swelling was evaluated using a tape measuring method
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Intervention_Physical
visual analog scale ( VAS ) and recording the number of pain pills taken
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Outcome_Physical
trismus
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Outcome_Pain
pain
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Outcome_Physical
facial swelling
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Outcome_Physical
Trismus
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Outcome_Physical
facial swelling
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Outcome_Pain
Pain
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Outcome_Physical
facial swelling measurements
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Outcome_Other
VAS scores
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Outcome_Physical
operation time
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Outcome_Physical
maximum interincisal opening
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Outcome_Physical
the number of analgesics taken
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Outcome_Physical
facial swelling
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Outcome_Other
VAS scores
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Participant_Condition
mandibular third molar surgery
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Participant_Condition
mandibular third molar surgery
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Participant_Sample-size
Twenty
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Participant_Condition
with bilateral , symmetrically impacted mandibular third molars