SynthesisMedicina oral, patologia oral y cirugia bucal2020
Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis.
Synthesis in Medicina oral, patologia oral y cirugia bucal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hyaluronic acid in tooth extraction: a systematic review and meta-analysis of preclinical and clinical trials.Clinical oral investigations · 2023Pooled it
- Piezosurgery versus conventional osteotomy: a randomized clinical trial on pain and anxiety in children with unerupted mandibular third molars.Clinical oral investigations · 2023Trial
- Double blind randomized clinical trial comparing minimally- invasive envelope flap and conventional envelope flap on impacted lower third molar surgery.Medicina oral, patologia oral y cirugia bucal · 2022Trial
- Sutureless socket technique after removal of third molars: a multicentric, open, randomized controlled trial.BMC oral health · 2022Trial
- Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial.Medicina oral, patologia oral y cirugia bucal · 2020Trial
- Improving healing after surgical extraction of partially impacted lower third molar by modification of three sided flap: a clinical pilot study.The Saudi dental journal · 2026Article
- Clinical Wound Healing After Lower Third Molar Surgery with Envelope and Bayonet Flaps: A Randomized Clinical Trial.Methods and protocols · 2025Article
- The effect of protein intake levels on early postoperative outcomes following impacted mandibular third molar removal: a pilot study.BMC oral health · 2025Article
- Postoperative pain and influencing factors after prophylactic extraction of impacted mandibular third molars: a multicenter prospective cohort study.BMC oral health · 2025Article
- Review
- Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis.Diagnostics (Basel, Switzerland) · 2024Article
- Imaging in Third Molar Surgery: A Clinical Update.Journal of clinical medicine · 2023Review
- Marginal and Para-Marginal Technique in Late Germectomy of Lower Third Molars.Children (Basel, Switzerland) · 2023Article
- Comparison between the Flapless Surgical Approach and a Novel Single Incision Access in Terms of Recovery Time and Comfort after Extraction of Impacted Inferior Third Molars: A Randomised, Blinded, Split-Mouth Controlled Clinical Trial.Journal of clinical medicine · 2023Article
- Single-Dose Ibuprofen-Arginine as a Preventive for Pain, Edema, and Trismus After Impacted Lower Third Molar Surgery: A Randomized Split-Mouth Clinical Trial.European journal of dentistry · 2022Article
- The influence of flap design on patients' experiencing pain, swelling, and trismus after mandibular third molar surgery: a scoping systematic review.Journal of applied oral science : revista FOB · 2021Article
- Coronectomy of Mandibular Third Molar: Four Years of Follow-Up of 130 Cases.Medicina (Kaunas, Lithuania) · 2020Article
- Systemic Use of Arnica Montana for the Reduction of Postsurgical Sequels following Extraction of Impacted Mandibular 3Evidence-based complementary and alternative medicine : eCAM · 2020Article
- Long-term Assessment of Oral Health-Related Quality of Life Following Surgical Removal of Mandibular Third Molar with Advanced Platelet-rich Fibrin: a Single-blinded Randomized Controlled Trial.Journal of oral & maxillofacial researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo review the literature on the effect of different surgical flaps upon patient morbidity (pain perception, trismus, swelling and osteitis) after impacted third molar extraction. MATERIAL AND
methodsAn electronic and complementary search of main databases and grey literature was performed up to January 2019 to retrieve randomized clinical trials. The Cochrane risk of bias assessment tool was used for methodological appraisal. A random-effects meta-analysis was conducted of pain perception and trismus.
resultsFrom the initially 1314 screened studies, only 11 were included in the qualitative synthesis, and 5 in the meta-analysis. There were no statistically significant differences in pain between the envelope and triangular flap designs over time, except on the sixth postoperative day, when the envelope flap proved more painful. Regarding trismus, statistically significant differences were observed on the seventh postoperative day, with greater mouth opening in the envelope flap group than in the triangular flap group. There were no clear differences in swelling and osteitis among the flap designs.
conclusionsDespite its limitations, the present meta-analysis found no clear differences in patient morbidity between the different flap designs.
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