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Volume 8 Issue 1 (January, 2020)

Original Articles

Assessment of Incidence of Trismus in a Transalveolar Extraction of Lower Third Molar
Nishant Kumar Tewari, Kunal Kundan, Sushmita Tiwari, Aditi Sinha, Pankaj Kumar, Shraddha Pathak

Background: Transalveolar extraction of mandibular third molar is a difficult procedure. Removal of third molar is the most commonly performed procedure associated with a wide range of complications. The most commonly occurring complications are pain, paresthesia, trismus, swelling and mandibular fractures. The present study was conducted to assess the incidence of trismus in a transalveolar extraction of lower third molar. Material and methods: The present randomized prospective clinical study was carried out among 98 patients who underwent surgical removal of impacted mandibular third molar teeth. A thorough clinical and radiological analysis was carried out in all the selected patients. A standard ward's incision or ward's incision with distal extension was placed, the mucoperiosteal flap was reflected and the bone was exposed. Mouth opening was measured with a ruler by placing alongside the teeth. The follow-up was carried out on the 1st, 3rd, and 7th postoperative days (PODs). Data was analysed using SPPS 22 version software. Results: In the present study, all patients experienced intermittent reduction of Mouth opening. Mouth opening was less on day POD 1 and POD 3. Mouth opening on 7th day was maximum with mesiangular impaction and minimum with distoangular impaction. Conclusion: Our study concluded that the postoperative trismus was more significant in disto-angular impaction which may be due to inflammation and pain.

 
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