Vécsey Zsombor, Joób-Fancsaly Arpád
Semmelweis Egyetem Arc-Allcsont-Szájsebészeti és Fogászati Klinika, Budapest.
Fogorv Sz. 2012 Mar;105(1):29-33.
Before removing impacted lower wisdom teeth, a mucoperiosteal flap is prepared. In the practice we use 2 types of flaps: with or without a releasing incision. There are few publications about how the removal of impacted wisdom teeth damage the periodontium of the second molars. In our study, we examined whether there is any difference in the healing between the two flap designs.
A total of 76 lower wisdom teeth have been removed. Two types of flaps were used. Prior surgery, at suture removal, 3 and 6 months after surgery 6 periodontal depth points were investigated around the second molars. We compared the technical events during surgery, complaints, probing depths after surgery and their correlance in function of flap design.
After removal of lower impacted wisdom teeth, we measured greater probing depths using envelope flap than L-shaped flap. However, this difference was not significant, and after 6 months, no differences were noted.
在拔除下颌阻生智齿之前，需制备黏骨膜瓣。在实际操作中，我们使用两种类型的瓣：有或无松弛切口。关于拔除阻生智齿如何损伤第二磨牙牙周组织的相关出版物较少。在我们的研究中，我们检查了两种瓣设计在愈合方面是否存在差异。
共拔除76颗下颌智齿。使用了两种类型的瓣。在手术前、拆线时、手术后3个月和6个月，对第二磨牙周围6个牙周深度点进行了研究。我们比较了手术过程中的技术情况、术后主诉、探测深度及其与瓣设计的相关性。
拔除下颌阻生智齿后，我们发现使用信封瓣时的探测深度比L形瓣更大。然而，这种差异并不显著，6个月后未发现差异。
