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The para-marginal flap strategy is a safe and more conservative alternative than the marginal flap technique for late germectomy procedures of molars.
The findings of a double-blind, randomized clinical trial favored the para-marginal flap technique as a prudent and less invasive choice for performing late germectomy of third mandibular molars. The noted benefits, such as diminished plaque accumulation, decreased bleeding on probing rates, and minimized post-operative discomfort, underscored the significance of adopting this method to enhance periodontal well-being and enhance patient results.
Researchers aimed to contrast postsurgical complications between the para-marginal flap and marginal flap techniques by evaluating pre and post-surgical measurements of post-surgical tumefaction, pain perception, maximum opening of the mouth, bleeding on probing, and plaque index. A total of 40 patients were enrolled and randomized into 2 groups. Group 1 underwent third molar extraction with a marginal flap design, while Group 2 received a para-marginal flap design.
Preoperative and one-week postoperative evaluations included assessments of distal probing, maximum mouth opening, bleeding on probing, and plaque index. Post-operative pain perception and swelling were recorded one week after the surgery for both groups. The treatment groups showed statistically significant differences, with the para-marginal flap demonstrating superior outcomes across all measured indexes.
The para-marginal flap strategy may be more efficient than the marginal flap strategy in reducing the likelihood of postoperative complications and discomfort following molar surgery. Hence, the para-marginal approach offers numerous benefits, positioning it as a more conservative and safe option for maintaining periodontal well-being.
Children
Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars
Francesco Saverio Ludovichetti et al.
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