COMPARASION OF OCHSENBEIN LUEBKE FLAP AND TRAPEZOIDAL FLAP IN PERIAPICAL SURGERIES: AN ORIGINAL RESEARCH

Dr. Anand Mangalgi, Dr. Kundan Shah*, Dr. Saraswati F. K., Dr. Deepika Mallasure and Dr. Nitin Thakur

ABSTRACT

Background and objective: Peripical surgery has become an integral part of comprehensive oral interdent for oral and maxillofacial surgeons and endodontist. While performing maxillofacial surgeries, the biological and functional health of the peridontium and its esthetic harmony are usually ignored. To restore the health of the of the periodontium and also to maintain and effective balance along with a satisfactory eradication of periapical pathosis various flap designs have been praciteced with a varying degree of benefits.in this present study various types have been compred in terms of their efficacy. Methods: For this study patients reporting of the opd department of oral and maxillofacial surgery at our institution were surveyed and a total of 20 patients under asa 1 category within the age group of 12-40 years with periapical pathologies in relation to maxillary or mandibular nonvital anterior teeth indicated for periapical surgery were selected and divided in to two equal groups that is group 1 (O L flap )and group 2 (TZ flap) all the subjects were free of periodontal disease. Result: Demographic variables were found to be stastically similar. Though O L flap has certain limitations that it cannot be used. When width of attach gingiva is less in anterior segments especially in mandibular region and posterior segments of both upper and lower jaws. It was found to be better than T Z flap, when comparison was done with respect to time of flap reflection accessibity durartion of surgery and postop pain. Postoperative scarring was noted in two patients of OL and TZ flap group and 2 patients had gingival recession in the TZ flap group as a sequels. Though the respective complications could be encountered with both the flaps. The OL and TZ flaps could be considered as reliable for periradicular surgeries while at comparison in our study result favoured OL flap.

Keywords: Periapical Surgery, Flap Design, Esthetics.