Application of Round Collar Flap in Maxillary Completely Impacted Wisdom Tooth Extraction

doi:10.13701/j.cnki.kqyxyj.2021.10.014

Abstract

Abstract: Objective: To investigate the effects of "round collar flap" in the removal of completely impacted maxillary wisdom teeth. Methods: A total of 70 patients with maxillary impacted wisdom teeth were selected in the Department of Oral and Maxillofacial Surgery of Stomatological Hospital of Wuhan University from June 2020 to December 2020. According to random number table method, they were divided into observation group and control group, with 35 cases in each group. The observation group was treated with "round collar flap", while the control group was treated with traditional angular flap. The incision suture time and wound healing were compared between two groups. Results: There was no significant difference in the wound healing between both groups, however, the incision suturing time of observation group was significantly shorter than that of control group. Conclusion: Compared with traditional angle flap, wound of "round collar flap" is easier to suture, and the knot of "round collar flap" is easier to remove and is harder to omit.

Key words: maxillary third molar, tooth extraction, flap design, round collar flaps

BAI Yunfei, LIU Ke, ZHOU Xiaocheng. Application of Round Collar Flap in Maxillary Completely Impacted Wisdom Tooth Extraction[J]. Journal of Oral Science Research, 2021, 37(10): 927-930.

References

[1] 许朗,鲁大鹏.基于CBCT影像的阻生第三磨牙分类探讨[J].北京口腔医学, 2018,26(4):210-215.
[2] Sigron GR, Pourmand PP, Mache B, et al. The most common complications after wisdom-tooth removal: part 1: a retrospective study of 1,199 cases in the mandible [J]. Swiss Dent J, 2014,124(10):1042-1046, 1052-1056.
[3] Ali A, Shah SJ, Shah AA, et al. Comparison of comma incision with Ward's incision in third molar extraction in terms of postoperative sequel-A clinical study [J]. Natl J Maxillofac Surg, 2019,10(2):200-205.
[4] Erdogan O, Tatli U, Ustun Y, et al. Influence of two different flap designs on the sequelae of mandibular third molar surgery [J]. Oral Maxillofac Surg, 2011, 15(3):147-152.
[5] Laskin DM. Indications and contraindications for removal of impacted third molars [J]. Dent Clin North Am, 1969, 13(4):919-928.
[6] Allen DZ, Sethia R, Hamersley E, et al. Presentation of an iatrogenically displaced third molar into the maxillary sinus in a 14-year-old patient successfully removed with an endoscopic approach: a case report and a review of the literature [J]. J Surg Case Rep, 2020, 2020(10):a290.
[7] Nogueira E, Almeida R, Catunda IS, et al. Impacted maxillary third molar displaced to the infratemporal space: a critical review and case report [J]. Gen Dent, 2019,67(1):16-20.
[8] Battisti A, Priore P, Giovannetti F, et al. Rare complication in third maxillary molar extraction: dislocation in infratemporal fossa [J]. J Craniofac Surg, 2017, 28(7):1784-1785.
[9] Mace T, Kahn A, Dechaufour P, et al. An extremely rare case of a displaced third molar into the infratemporal fossa associated with a textiloma [J]. J Stomatol Oral Maxillofac Surg, 2020, 121(6):746-748.
[10] 张钰芳.上颌骨埋伏阻生第三磨牙微创拔除的临床研究[J].中外医学研究,2019,17(33):21-23.
[11] 潘韦霖,曹钰彬,刘畅,等.不同翻瓣设计对下颌第三磨牙拔除术后疼痛的影响:系统评价与Meta分析[J]. 国际口腔医学杂志,2019,46(2):142-148.
[12] Barone A, Marconcini S, Giacomelli L, et al. A randomized clinical evaluation of ultrasound bone surgery versus traditional rotary instruments in lower third molar extraction [J]. J Oral Maxillofac Surg, 2010, 68(2):330-336.
[13] Briguglio F, Zenobio EG, Isola G, et al. Complications in surgical removal of impacted mandibular third molars in relation to flap design: clinical and statistical evaluations [J]. Quintessence Int, 2011, 42(6):445-453.
[14] Karaca I, Simsek S, Ugar D, et al. Review of flap design influence on the health of the periodontium after mandibular third molar surgery [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 104(1):18-23.
[15] 商维荣,朱建华,熊蓉艳,等.腭大孔与牙槽孔的应用解剖学研究[J].黑龙江医药科学,2003,26(2):35.