Objective: To assess the surgical outcomes between Comma type incision and wards incision after surgical extraction of wisdom teeth.
Materials and Method: The randomized control study was carried out at Oral & Maxillofacial Surgery Department, Institute of Dentistry, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad from August 2018 till February 2019. It involved 100 patients with impacted mandibular 3rd molar (mesioangular) which was divided into 2 groups. Group A (50 patients) underwent surgical extraction with Comma shaped incision and Group B (50 patients) with Ward’s incision. Patients were divided without regard of gender within age limit (20 to 45 years) exceptions were pregnancy, trismus, limited mouth opening, oral submucous fibrosis, and other types of impactions. Post-operative complications like bleeding, pain, swelling, restriction of mouth opening, and dehiscence were evaluated by Chi-square test and paired t-test.
Results: Males and females were 33% and 63% respectively. The mean age was 29.65±7.5 in group A, and 28.74±5.7 in group B. According to preoperative pain assessment, no pain and mild pain were found in 26% and 44% patients of group A and 16% and48%patients of group B, moderate pain and severe pain was in 30%of group A and 34% and 2%patients of group B. On 1stpostoperative day the mild, moderate pain and bleeding were higher in group B patients. On 3rdand 7thpost-operative day no pain, no bleeding found in both groups, dehiscence was found in 2%of patients in group and 10% of patients in group B. According to preoperative mouth opening assessment the mean of mouth opening was 39.5±2.8 in group A, and 42.86±4.4 in group B.According to thepreoperative swelling assessment, the mean of swelling was 175±11 in group A and 180±1 was in group B. According to postoperative swelling assessment, there was increase swelling seen more in group Bas compare to group A 1st, 3rd day which regresses on 7th day postoperatively.
Conclusion:The study showed that, within its limitations, Comma shaped incision appears to be simpler, easier, better access, and more effective technique for minimizing the post-extraction bleeding, swelling, mouth opening, pain, and wound dehiscence linked with inflammatory sequel after removal of impacted wisdom teeth.