Study Comparing Pain and Swelling After Surgical Removal of Partially Impacted Lower Wisdom Teeth Using Flap or Flapless Techniques

What this Trial Is About

This research aims to compare postoperative pain and facial swelling after surgical removal of partially impacted mandibular third molars. The study focuses on patients with mesioangular impactions who have experienced a second episode of pericoronitis and swelling. Researchers are evaluating two surgical methodsflap and flapless techniquesto see which results in less postoperative discomfort and swelling by the second day after surgery. Participants will be randomly assigned to receive either the flap technique, which involves mucoperiosteal flap elevation, bone guttering, tooth sectioning, and suturing, or the flapless technique, which uses minimal gingival reflection without flap elevation, bone guttering, tooth sectioning, and no suturing. All procedures will be performed by the same surgeon to maintain consistency. The flap method repositions and sutures the flap, while the flapless approach allows the site to heal naturally. During the study, pain will be measured using a 10-point Visual Analogue Scale, and facial swelling will be assessed with standardized facial measurements on the second postoperative day. A total of 160 participants aged 18 to 45 will take part. The study will monitor these outcomes closely to determine the differences in postoperative morbidity between the two surgical methods.

Postoperative Pain and Swelling After Flap vsFlapless Technique For Mandibular Third Molar Surgery