Title

Evaluation of postoperative trismus in buccal versus lingual approach for impacted mandibular third molar removal

Authors

Nitin Purohit¹, Dipanjal Saikia^2,*, Abhigyan Manas³, Abdul Kalam Azad⁴, Shibabrata Behera⁵, Vaibhav Rai⁶, Sai Kiran Bahadur⁷ & Varadharajula Venkata Ramaiah⁸

Affiliation

¹Department of Dentistry, District Hospital, Rudraprayag, Uttarakhand, India; ²Department of Dentistry, Assam Medical College and Hospital, Dibrugarh, Assam, India; ³Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India; ⁴Department of Oral and Maxillofacial Surgery, College of Dentistry, Qassim University, Saudi Arabia; ⁵Department of Oral And Maxillofacial Surgery, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Patia, Bhubaneswar-751024, Odisha, India; ⁶Department of Oral Medicine and Radiology, Universal College of Medical Sciences, Nepal; ⁷Department of Prosthodontics, Springfield Dental, Springfield, Massachussets, USA; ⁸Department of Public Health, College of Applied Medical Sciences, Qassim University, Buraydah 51452, PSBox 6666, Saudi Arabia; *Corresponding author

Email

Nitin Purohit - E - mail: drnitinomfs007@gmail.com
Dipanjal Saikia - E - mail: omfsgdcbr@gmail.com
Abhigyan Manas - E - mail: abhigyanmanas@gmail.com
Abdul Kalam Azad - E - mail: a.azad@qu.edu.sa
Shibabrata Behera - E - mail: shibabrata.behera@kids.ac.in
Vaibhav Rai - E - mail: drvaibhavirai@gmail.com
Sai Kiran Bahadur - E - mail: kiranmds@umich.edu
Varadharajula Venkata Ramaiah - E - mail: v.varadharajula@qu.edu.sa

Article Type

Research Article

Date

Received May 1, 2025; Revised May 31, 2025; Accepted May 31, 2025, Published May 31, 2025

Abstract

Evaluation of trismus incidence and severity between buccal and lingual approaches in impacted mandibular third molar extractions is of interest. Hence, a prospective observational study was conducted with 100 patients divided into two groups: Group A (buccal approach) and Group B (lingual approach). Clinical parameters including inter incisal distance (IID), Visual Analog Scale (VAS) for pain, facial swelling and surgery duration were assessed preoperatively and postoperatively on Days 1, 3 and 7. The lingual approach to mandibular third molar extraction is connected with a greater chances of severe postoperative trismus compared to the buccal approach.

Keywords

Trismus, buccal approach, lingual flap, impacted third molar, ROC curve, odds ratio

Citation

Purohit et al. Bioinformation 21(5): 1113-1117 (2025)

Edited by

P Babaji

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.