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Volume 10
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10.3390/children10061077
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Article

Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars

by
Francesco Saverio Ludovichetti
1,*,
Sergio Mazzoleni
1,
Manuel Menin
1,
Roberta Gaia Parcianello
2,
Francielle Romanowski
3,
Edoardo Stellini
1 and
Andrea Zuccon
1
1
Department of Neurosciences—Dentistry Section, Padova University, 35128 Padova, Italy
2
Department of Pediatric Dentistry, Milano University, 20100 Milano, Italy
3
Department of Pediatric Dentistry, Unievangelica University, Anapolis 75083-515, Brazil
*
Author to whom correspondence should be addressed.
Children 2023, 10(6), 1077; https://doi.org/10.3390/children10061077
Submission received: 12 May 2023 / Revised: 30 May 2023 / Accepted: 16 June 2023 / Published: 19 June 2023
(This article belongs to the Section Pediatric Dentistry & Oral Medicine)
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Abstract

Introduction: Third molar surgery can cause post-operative complications to the patient due to the presence of a wound from the incision. This study aimed to compare marginal flap with para-marginal flap on postoperative complications by the measurements on pre and post-surgical plaque index (PI), bleeding on probing (BoP), maximum opening of the mouth (MOM), pain perception (PP) and post-surgical tumefaction (PT). Methods: In this double-blind randomized clinical trial, 40 patients were recruited and randomly allocated in two groups. In Group 1, third molar extraction was carried out after a marginal flap design was performed, while in Group 2 a para-marginal flap was performed. Plaque index, bleeding on probing, maximum mouth opening, and distal probing were assessed right before and one week after surgery, while post-operative pain perception and post-operative swelling were accounted one week following surgery. Results: Statistically significant differences were reported between treatment groups, as the para-marginal flap led to better outcomes for all the measured indexes. Conclusions: The para-marginal flap design may decrease the occurrence of post-operative complications and discomforts after mandibular third molar surgery, compared to marginal flap design.
Keywords: germectomy; marginal flap; para-marginal flap; third molars; children germectomy; marginal flap; para-marginal flap; third molars; children

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MDPI and ACS Style

Ludovichetti, F.S.; Mazzoleni, S.; Menin, M.; Parcianello, R.G.; Romanowski, F.; Stellini, E.; Zuccon, A. Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars. Children 2023, 10, 1077. https://doi.org/10.3390/children10061077

AMA Style

Ludovichetti FS, Mazzoleni S, Menin M, Parcianello RG, Romanowski F, Stellini E, Zuccon A. Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars. Children. 2023; 10(6):1077. https://doi.org/10.3390/children10061077

Chicago/Turabian Style

Ludovichetti, Francesco Saverio, Sergio Mazzoleni, Manuel Menin, Roberta Gaia Parcianello, Francielle Romanowski, Edoardo Stellini, and Andrea Zuccon. 2023. "Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars" Children 10, no. 6: 1077. https://doi.org/10.3390/children10061077

APA Style

Ludovichetti, F. S., Mazzoleni, S., Menin, M., Parcianello, R. G., Romanowski, F., Stellini, E., & Zuccon, A. (2023). Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars. Children, 10(6), 1077. https://doi.org/10.3390/children10061077

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