A Comparative evaluation between Traditional Ward's incision Versus Modification of Ward's incision in Mandibular Third molar removal surgery

Objective: To compare standard wards incision with modification of the wards incision in impacted third molar surgeries. Methodology: This study involved 60 patients with mesioangular impacted mandibular third molars. The patients were categorized into two groups a standard ward’s incision was made on the control group, while modification of ward's incision was performed on the study group to elevate the mucoperiosteal flap, thereafter disimpaction of tooth was done. The postoperative parameters were documented preoperatively, on postoperative day 1, and on postoperative day 7. Results: Regarding postoperative Mouth opening in ward's incision, as well as in modification of ward's incision group, no significant difference was observed. Whereas a significant difference (p < 0.05) 0.008 appears between the two groups in edema control group (11.853) and study group (11.627) respectively on postoperative 7th day. Conclusion: The selection of flap design is contingent upon the specific requirements of the case and preference of operating surgeon. The surgeon must conduct thorough clinical and radiographic evaluations to reduce significant exposure of bone and avoid neurological complications during the procedure.