Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Marginal and Para-Marginal Technique in Late Germectomy of Inferior Third Molars

Francesco Saverio Ludovichetti
* ORCID logo ,
Sergio Mazzoleni
ORCID logo ,
Manuel Menin
,
Roberta Gaia Parcianello
,
Francielle Romanowski
,
Edoardo Stellini
,
Andrea Zuccon
Version 1 : Received: 15 May 2023 / Approved: 16 May 2023 / Online: 16 May 2023 (08:31:56 CEST)

A peer-reviewed article of this Preprint also exists.

Ludovichetti, F.S.; Mazzoleni, S.; Menin, M.; Parcianello, R.G.; Romanowski, F.; Stellini, E.; Zuccon, A. Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars. Children 2023, 10, 1077. Ludovichetti, F.S.; Mazzoleni, S.; Menin, M.; Parcianello, R.G.; Romanowski, F.; Stellini, E.; Zuccon, A. Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars. Children 2023, 10, 1077.

Abstract

Introduction: Third molar surgery can cause post-operative complications to the patient due to the presence of wound from the incision. The study aimed to compare marginal flap with para-marginal flap on postoperative complications by the measurements on pre and post-surgical plaque index (PI), bleeding on probing (BoP), maximum opening of the mouth (MOM), pain perception (PP) and post-surgical tumefaction (PT). Methods: In this double-blind randomized clinical trial, 40 patients were recruited and randomly allocated in two groups. In Group 1, third molar extraction was carried out after a marginal flap design was performed, while in group 2 a para-marginal flap was per-formed. Plaque Index, Bleeding on Probing, Maximum Mouth Opening, and Distal Probing were assessed right before and one week after surgery, while Post-operative Pain Perception and Post-operative Swelling were accounted one week following sur-gery. Results: Statistically significant difference are reported between treatment groups, as the para-marginal flap led to better outcomes for all the measured indexes. Conclusion: The para-marginal flap design may decrease the occurrence of post-operative compli-cations and discomforts after mandibular third molar surgery, compared to marginal flap design.

Keywords

germectomy; marginal flap; para-marginal flap; third molars; children

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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