Evaluation of severity of pain after removal of impacted third molar by comparing two flap designs.

Abstract

Objectives: To evaluate the severity of post-operative pain after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Interventional study. Setting: Department of Oral surgery, Isra Dental College Hospital. Period: From January 2016 to June 2016. Material & Methods: A sample of 50 patients of impacted third molar was selected by non-probability purposive sampling for tooth extraction either by conventional technique or by coma shaped incision. Post-operative amount of pain was measured on 1^st, 3^rd and 7^th day respectively. Results: Mean ± SD age in group A and B was noted as 28.5 ± 4.32 and 27.2 ± 4.39 years respectively. Male and female in groups A and B were noted as 16 (64%) and 9 (36%), & 14 (56%) and 11 (44%) respectively. Right and left lower mandibular teeth extraction in groups A and B were noted 11 and 14, & 10 and 15 respectively. Pain was measured after extraction at day 1, day 3 and day 7. Conclusion: The Coma incision was preferable over the conventional method- the standard Ward`s incision because of lesser degree of post-operative pain.