Envelope or triangular flap for surgical removal of third molars? A systematic review and meta-analysis

被引:10
作者
Lopes da Silva, B. C. [1 ]
Machado, G. F. [1 ]
Primo Miranda, E. F. [1 ]
Galvao, E. L. [1 ]
Falci, S. G. M. [1 ]
机构
[1] Fed Univ Vales Jequitinhonha & Mucuri UFVJM, Sch Dent, Oral & Maxillofacial Sect, Diamantina, MG, Brazil
关键词
flap design; third molars; systematic review; ALVEOLAR OSTEITIS; SPLIT-MOUTH; POSTOPERATIVE DISCOMFORT; TRIPLE-BLIND; 2ND MOLARS; DESIGN; EXTRACTION; SURGERY; PAIN; COMPLICATIONS;
D O I
10.1016/j.ijom.2020.01.001
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The aim of this systematic review was to compare the triangular and envelope flaps in mandibular third molar surgery with regard to pain, oedema, and trismus. Secondary outcomes assessed were dehiscence, ecchymosis, alveolar osteitis, periodontal condition, and surgical time. The PRISMA guidelines and recommendations in the Cochrane Handbook were followed, and the review was registered before commencement (PROSPERO; CRD42018112373). The literature search was conducted in the Web of Science, PubMed, Virtual Health Library, Cochrane Library, and Scopus databases and in the grey literature; randomized clinical trials, indexed through November 2018 were included. Three reviewers independently examined the studies. Twenty studies were included in the qualitative analysis, of which 18 were included in the meta-analyses. The flap design did not influence pain, oedema, trismus, dehiscence, or osteitis. The triangular flap was associated with a greater occurrence of postoperative ecchymosis (odds ratio 4.58, 95% confidence interval 1.34 to 15.91, I-2 = 0) and lower periodontal probing depth on day 7 postoperative (standardized mean difference -1.36, 95% confidence interval -2.68 to -0.03, I-2= 88%) when compared to the envelope flap in mandibular third molar surgeries.
引用
收藏
页码:1073 / 1086
页数:14
相关论文
共 54 条
  • [51] The impact of third molar symptoms, pain, and swelling on oral health-related quality of life
    Slade, GD
    Foy, SP
    Shugars, DA
    Phillips, C
    White, RP
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2004, 62 (09) : 1118 - 1124
  • [52] Stevao EL, 1998, BCI, V5, P15
  • [53] Marginal flap versus paramarginal flap in impacted third molar surgery: A prospective study
    Suarez-Cunqueiro, MM
    Gutwald, R
    Reichman, J
    Otero-Cepeda, XL
    Schmelzeisen, R
    [J]. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 2003, 95 (04): : 403 - 408
  • [54] Comparison of a new flap design with the routinely used triangular flap design in third molar surgery
    Yolcu, U.
    Acar, A. H.
    [J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2015, 44 (11) : 1390 - 1397