New proposal of flap drawing for the extraction of the third mandibular molar semi-included: Cogswell triangular flap modified and transposed

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Michele M. Figliuzzi
Maria Altilia
Simone Altilia
Concetta Romeo
Fortunato Leonzio

Abstract

OBJECTIVE: The study proposes a new flap drawing derived from the modification of a triangular Cogswell flap to treat a semi-included third molar.


MATERIAL AND METHOD: Two groups of patients underwent surgery: in the study group the new flap proposal was carried out whilst in the control group the triangular Cogswell flap was used. The gingival tissue and the periosteum were detached and the extraction technique was standardised for all the cases.


RESULTS: At 7 days and at 14 days from the operation, the results showed a statistically significant difference in the increase in primary intention healing in the study group whereas no statistically significant difference was encountered between using the innovative flap or the triangular Cogswell flap in terms of swelling.


DISCUSSION: The patients who underwent the innovative flap operation presented an increased percentage of primary intention healing compared to the patients who underwent the baseline method. As known from the international literature, a correct operational conduct aims at reducing surgical trauma as much as possible in order to limit the immediate and delayed consequences of surgery. Nevertheless the lengthening of healing times also leads to an increase of probability that post-operative complications and worse quality of life for the patients arise.


CONCLUSION: The Cogswell triangular flap modified and translated represents a new method available to the oral surgeon, useful in soft tissue management for the extraction of semi-included third mandibular molars. Simple to carry out, it promotes primary intention healing with absence of an increase in complications such as swelling26-30.

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How to Cite
Figliuzzi, Michele M., et al. “New Proposal of Flap Drawing for the Extraction of the Third Mandibular Molar Semi-Included: Cogswell Triangular Flap Modified and Transposed”. Annali Italiani Di Chirurgia, vol. 91, no. 1, Jan. 2020, pp. 93-99, https://annaliitalianidichirurgia.it/index.php/aic/article/view/190.
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