Main Article Content
To systematically evaluate the different types of flap modification in surgical removal of impacted third molar.
The aim of this systematic review is to evaluate the different types of flap modification in surgical removal of impacted third molar.
MATERIALS AND METHODS:
The Data Bases of PubMed, Cochrane and Google scholar were searched for the related topics along with a complimentary manual search of all oral surgery journals till September 2020. Articles were selected based on the inclusion criteria, which included all RCTs.
The triangular incision posterior to the second molar facilitate the vision of the site and also access to the bone region, and a better location for the side that would serve as a natural site drainage oblique incision. This oblique incision was started at the angle distobuccal the second molar and descends to the bottom of the groove .This incision was sutured only oblique angle together with the back and would not be sewn to the bottom of the groove remaining open and working as a permanent drain in the first postoperative days
A comparison between different incision techniques do not find a significant difference on the adverse effects of third molar surgery regarding; periodontal attachment loss, plaque index, bone level distal to the second molar, gingival margin, periodontal probing depth, inflammation, pain, trismus, mouth opening, no significant differences can demonstrate that an incision should be used with preference on the other to improve the quality of life of patients