Clinical Effect of Improved Incision in Extraction of Impacted Mandibular Wisdom Teeth
Abstract
Objective: To explore the clinical effect of improved incision in the extraction of impacted mandibular wisdom teeth. Methods: 160 patients who were treated in our hospital from October, 2024 to April, 2025 and had their mandibular impacted wisdom teeth removed according to the doctor’s advice were randomly divided into observation group and control group. The observation group used modified incision, while the control group used traditional triangular incision. The operation time, intraoperative visual analogue scale (VAS) pain score, pain VAS score on the 1st, 2nd and 3rd day after operation, facial swelling on the 2nd day after operation, mouth opening limitation on the 2nd day after operation and the incidence of dry socket after operation were recorded and compared between the two groups. Results: There was no significant difference in operation time between the two groups (p > 0.05). The VAS score of pain in the observation group was significantly lower than that in the control group at each time point during and after operation (p < 0.05). On the second day after operation, the facial swelling and mouth opening limitation in the observation group were significantly lighter than those in the control group (p < 0.05). The incidence of dry socket in the observation group was 1.25% (1/80), which was significantly lower than that in the control group (8.75%, 7/80), and the difference was statistically significant (p < 0.05). Conclusion: The application of modified triangular incision in the extraction of impacted mandibular wisdom teeth can effectively relieve the pain during and after operation, reduce postoperative facial swelling and mouth opening limitation, and reduce the incidence of dry socket.
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