الفهرس 
Materials and MethodsOnly 14 pages are availabe for public view
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Abstract
The current academic research aim was to compare the diode laser usage versus the
conventional scalpel incision in surgical extraction of the lower impacted 3rd molar. Twenty three
controlled diabetic patients that required a bilateral 3rd molar teeth extraction were chosen from the
outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria
University.
Preoperative assessment
Each participant was evaluated and assessed by taking history appropriately as well as
the obtained lab investigations of Glycosylated hemoglobin (HbA1C) ranging from 5.7% - 7%,
in addition to a thorough clinical examination for determining the occurrence or absence of
suppuration, discharge or swelling, the gingival biotype, occlusion and inter-arch space.
Surgical procedure
• All participants had local anesthesia by means of (Articaine HCL 4% with vasoconstrictors
(1:200.000)). A standardized 2 lines- flap was done for all patients in both groups by the
same surgeon to unify the technique and expose the impacted molar.
• Patients were separated into two groups: control group (group A) received the conventional
full mucoperiosteal flap reflected via a surgical incision by means of the diode laser. The
study group (group B) received the conventional mucoperiosteal flap reflected via a surgical
incision by means of a Bard-Parker scalpel blade no.15
• Followed by the use of a mucoperiosteal elevator to expose the bone surface for both groups.
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• Bone removal was performed using the guttering technique for both groups to create a point
of entry for the straight elevators to elevate the impacted tooth.
• Tooth sectioning was performed using surgical burs in both groups.
• Bone shaving was achieved by a bone file and wound irrigation by saline.
• Wound closure was done using 3-0 silk sutures for both groups.