Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Evaluation of a New Simplified Approach for Upper Superficial Impacted Wisdom Teeth Extraction. A Retrospective Split-Mouth Clinical Study

Version 1 : Received: 1 March 2024 / Approved: 4 March 2024 / Online: 4 March 2024 (02:46:06 CET)

How to cite: Materni, A.; Alccayhuaman, K.A.A.; Maltagliati, A.; Botticelli, D.; Benedicenti, S. Evaluation of a New Simplified Approach for Upper Superficial Impacted Wisdom Teeth Extraction. A Retrospective Split-Mouth Clinical Study. Preprints 2024, 2024030084. https://doi.org/10.20944/preprints202403.0084.v1 Materni, A.; Alccayhuaman, K.A.A.; Maltagliati, A.; Botticelli, D.; Benedicenti, S. Evaluation of a New Simplified Approach for Upper Superficial Impacted Wisdom Teeth Extraction. A Retrospective Split-Mouth Clinical Study. Preprints 2024, 2024030084. https://doi.org/10.20944/preprints202403.0084.v1

Abstract

Background: A new access technique was developed to reduce postoperative adverse events after the extraction of impacted maxillary wisdom teeth. Hence, this study aimed to assess the occurrence of adverse events after extraction of maxillary impacted wisdom teeth using traditional or modified access. Methods: Two different surgical incision designs were used for bilateral wisdom tooth extractions in 30 patients. The traditional incision was performed distal to the second molar in the center of the tuberosity, followed by a buccal releasing incision. After tooth extraction the wound was secured by sutures. The new technique consists of an oblique incision from the distal palatal aspect of the tuberosity towards the buccal aspect of the second molar. After tooth extraction, cyanoacrylate glue was used on the wound. Results: Lower pain was reported by patients at the site treated with the new technique (p<0.01). Edema, postsurgical bleeding, and hematoma were similar in both groups. The surgical time was shorter for the new technique (p<0.01). Conclusions: The new technique applied for the extraction of impacted maxillary wisdom teeth reduced postsurgical pain and the duration of surgery.

Keywords

third molar extraction; impacted tooth; flap design; oral surgery; maxillofacial surgery; glue; cyanoacrylate

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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