Hassan Shahid, Alvina Ali Shaikh, Sadia Hassan, Salman Shafique, Fahad Ahmed, Aswad Ahmed.
Evaluation of severity of pain after removal of impacted third molar by comparing two flap designs..
Professional Med J Jan ;27(03):540-6.

Objectives: To evaluate the severity of post-operative pain after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Interventional study. Setting: Department of Oral surgery, Isra Dental College Hospital. Period: From January 2016 to June 2016. Material & Methods: A sample of 50 patients of impacted third molar was selected by non-probability purposive sampling for tooth extraction either by conventional technique or by coma shaped incision. Post-operative amount of pain was measured on 1st, 3rd and 7th day respectively. Results: Mean ± SD age in group A and B was noted as 28.5 ± 4.32 and 27.2 ± 4.39 years respectively. Male and female in groups A and B were noted as 16 (64%) and 9 (36%), & 14 (56%) and 11 (44%) respectively. Right and left lower mandibular teeth extraction in groups A and B were noted 11 and 14, & 10 and 15 respectively. Pain was measured after extraction at day 1, day 3 and day 7. Conclusion: The Coma incision was preferable over the conventional method- the standard Ward`s incision because of lesser degree of post-operative pain.

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