Evaluation of Efficacy of Aqua Titan Patch in Postoperative Sequelae After Lower Third Molar Surgery: A Prospective Study
Nimish Agarwal
Abstract
Objective To evaluate the efficacy of aqua titan patch in postoperative sequelae after mandibular third molar surgery.
Material and Methods A total of 20 patients were selected and divided into two groups, Group A was evaluated by using Aqua titan patch with oral antibiotics and anti-inflam-matory analgesics while Group B was only provided with antibiotics and anti-inflammatory analgesics.
Results There were total 20 subjects, with 4 males and 16
females. Pain was evaluated after surgical removal, where significant reduction was observed on 5 and 7th postop-erative day in study group with p value 0.004 and 0.013, respectively. Reduction in swelling was observed to be sta-tistically highly significant (p values =0.000) in study group on 5 and 7th postoperative days. Beneficial results were obtained in study group where mouth opening was statisti-cally significant with p value 0.002 on 5th and 0.049 on 7th
postoperative day. For postoperative neurosensory deficit, mean values were constant and difference was found to be statistically insignificant with p value 0.13.
Conclusion Postoperative local application of aqua titan patch in study group provided beneficial effects in terms of reduction in pain, swelling and maximum mouth opening as compared to the control group.
Keywords Aqua titan Mandibular third molar surgery. Impaction Pain, Swelling, Maximum mouth opening, Neurosensory deficit Titanium. Phiten
Introduction
The removal of mandibular third molar is the most fre-quently performed surgical procedure in Oral and Maxillo-facial Surgery. This is because the mandibular third molars are often associated with diverse range of disorders, such as pericoronitis, periodontal defects in the distal aspect of sec-ond molar, different types of cysts and odontogenic tumors and neurogenic pain. Other criteria that justify the removal of third molars are orthodontic and prosthodontic restora-tive considerations. The prevalence of impacted lower third molars ranges from 16.7 to 68.6%. The surgical removal often involves soft tissue incision and bone removal that ulti-mately reduces the effects of inflammation response to the patient’s quality of life in terms of postoperative pain, swell-ing, maximum mouth opening and neurosensory deficit [1]. Depth of impaction, horizontal and distoangular impac-tion, lingual flap retraction, longer duration of surgery are the various risk factors associated with mandibular third molar surgery [2]. In these cases, paresthesia can be seen with less incidence of inferior alveolar canal injury