Abdel Monem Tawfik Gadallah, Eman Abdel Salam Youssef And Enas Ebrahim Gamil Elzeny,

ABSTRACT
Background: Pedicle Flap Design Is Reported To Enhance Wound Healing And Decrease Incidence Of Dry Socket. However, Limited Data Are Available In The Literature About Its Effect Following The Removal Of Impacted Mandibular Third Molar.

Purpose: To Compare The Post-operative Complications Of The Traditional Triangular Flap And The Pedicle Flap After Surgical Extraction Of Mandibular Third Molars.

Materials and Methods: This Study Was Conducted On Forty Impactions Presented In Twenty Patients With Bilateral Impacted Mandibular Third Molars, Divided Into Two Equal Groups; Group A: The Study Group, In Which Pedicle Flap Design Was Performed And Group B: The Control Group, In Which Triangular Flap Was Performed. Postoperative Pain Was Evaluated Using Visual Analogue Scale (VAS) On 2nd And 7th Postoperative Days, Swelling Was Evaluated On 2nd And 7th Day Postoperatively Using Tape For Measurement Of Two Facial Dimensions, Trismus On 2nd And 7th Days Postoperatively By Using Digital Vernier Was Evaluated Calipers, Wound Dehiscence And Dry Socket Were Evaluated On 2nd And 7th Postoperative Day. Result: There Was No Significant Difference Between The Two Flap Designs Regarding Postoperative Swelling, Trismus And Pain. The Wound Dehiscence Was Lower In The Pedicle Flap Group Compared To The Triangular Flap Group As Recorded In Second Day (P<0.001) And Seventh Day (P=0. 01). The Dry Socket Was Lower In The Pedicle Flap Group Compared To The Triangular Flap Group As Recorded In Second Day(P=0.047) While No Statistical Significance Difference Between Both Groups In The Seventh Day (P=0. 102). Conclusion: There Is No Significant Difference Between The Pedicle Flap Design And The Triangular Flap Regarding Postoperative Pain, Trismus And Swelling After Impacted Third Molar Surgery. However, This Study Reported That Pedicle Flap Design Had Lower Incidence Of Wound Dehiscence And Dry Socket.