COMMA SHAPED INCISION AND ITS INFLUENCE ON POST-OPERATIVE HEALING (PAIN AND TRISMUS) IN COMPARISON WITH STANDARD WARD’S INCISION

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Khurram Waqar Khan
Aasiya Javed
Muhammad Masood Khan
Mehmoona Rehman
Saima Rahat
Tahir Ullah Khan

Abstract

INTRODUCTION: The most frequent procedure performed in the oral and maxillofacial surgical department is the surgical extraction of an impacted third molar. A minor surgical intervention with appropriate flap is frequently necessary to remove an impacted third molar.


OBJECTIVE: To determine the efficacy of comma shaped incision in comparison with standard ward’s incision among patients with mesioangular mandibular third molar impaction.


MATERIAL AND METHODS: This randomized control trial was conducted at Foundation University College of Dentistry Islamabad from 9th October 2015 to 22nd November 2016. Total 116 adult volunteer subjects, 58 in each group within the age range of 18-50 years were assessed. Preoperative radiographs were obtained. Based on the lottery method, the patients were allocated arbitrarily into two equal groups. Ward's incision was given to Group A, and a comma-shaped incision was given to Group B.


RESULTS: The patients' mean age (years) was 33.81+5.03. Patients included 97 (83.6%) women and 19 (16.4) men. The effectiveness of the comma-shaped incision compared to the standard ward's incision among patients with mesioangular mandibular third molar impaction in terms of post-operative pain score at 7th day was 35 (60.3) and 21 (36.2), respectively, which was highly significant (p-value 0.009), whereas trismus at 7th post-operative day was 41mm (70.7) and 48mm (82.8), respectively, which was not significant (p-value 0.124) statistically.


CONCLUSION: We have concluded from our study that comma-shaped incisions were superior to ward's incisions in terms to lessen discomfort following mandibular third molar surgery, however, trismus in both groups was not effective.

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