Evaluation of post-operative outcomes of longitudinal and cross-sectional odontectomy in surgical removal of mesioangular impacted mandibular third molars – A prospective study

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Original Article

Author Details : Joshna E K*, Jayakumar N, Anish Poorna T, Antony P G, Sathikala L

Volume : 7, Issue : 2, Year : 2021

Article Page : 127-131

https://doi.org/10.18231/j.jooo.2021.024

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Abstract

Context: Surgical removal of the mandibular third molar is a routine procedure done in dental office. It is associated with various operative and post-operative complications.
Aims: The purpose of the prospective study was to compare the longitudinal and cross-sectional methods of in the surgical removal of impacted mandibular third molars and to evaluate the difference in duration of surgery and post-operative complications between the two techniques.
Settings and Design: This prospective study was conducted over a period of 18 months after institutional ethical clearance was obtained.
Materials and Methods: Fifty patients with impacted mandibular third molars were selected and treated with cross-sectional tooth sectioning (n= 25) and longitudinal tooth sectioning (n=25) by random allocation. Clinical parameters such as and post-operative maximal mouth opening, post-operative edema, time taken for the procedure to be completed and post-operative pain were used to compare and evaluate the outcomes of both the techniques in our study.
Statistical Analysis used: The significance of difference between qualitative variables and quantitative variables were assessed using chi square test and unpaired t test respectively.
Results: Longitudinal tooth sectioning consumed significantly less time than tooth cutting (P<0> Conclusions: In of impacted mandibular third molars, longitudinal sectioning of the tooth was associated with less incidence of edema and consumed less duration than cross-sectional .

Key Messages: Longitudinal tooth sectioning of impacted mandibular third molars provide better results compared to the cross-sectional tooth sectioning as it is relatively quick and yields favorable post-operative outcome, hence being adoptable by any dental practitioner for .

Keywords: Impacted tooth, Postoperative complications, Tooth sectioning.

How to cite : Joshna E K, Jayakumar N, Anish Poorna T, Antony P G, Sathikala L, Evaluation of post-operative outcomes of longitudinal and cross-sectional odontectomy in surgical removal of mesioangular impacted mandibular third molars – A prospective study. J Oral Med Oral Surg Oral Pathol Oral Radiol 2021;7(2):127-131

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