Assessment of a bone preservation technique in surgical removal of impacted lower third molar teeth (A clinical Study)

Document Type : Original Article

Author

Department of Oral and Maxillofacial surgery, Faculty of Dentistry, Cairo University

Abstract

Aim: The aim of this study was to assess the post-operative clinical outcomes of a bone preservation technique compared to
conventional technique in surgical removal of impacted mandibular third molar teeth.
Materials and Methods: Twenty four female patients (Mean age of 25.3 ± 4.8 years) with impacted mandibular third molar
teeth (Vertical class 1 position B) were included in the study. The patients were divided randomly and equally into two equal
groups. Group I patients were subjected to surgical removal of the impacted mandibular third molar teeth through a bone
preservation technique (Study group) and group II patients underwent the surgeries with the conventional technique of bone
removal (Control group).
Results: Group I showed a statistically significant less pain scores compared to group II after 1, 3 and 7 days postoperatively.
After three days postoperatively, swelling measurements in Group I were statistically significantly lower than those in Group II.
After one as well as three days, Group I showed statistically significantly more maximum inter-incisal opening measurements
compared to group II.
Conclusion: Surgical techniques that preserve the alveolar bone during the extraction of impacted mandibular third molars
result in reduced pain, swelling, and trismus compared to more invasive approaches. Our bone preservation technique showed
excellent results regarding the clinical outcomes compared to the conventional technique and we recommend it for further
clinical trials with different classifications of impacted mandibular third molar teeth.

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