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NCT Number: NCT03492814

Comparing Different Suturing Techniques on the Post-operative Morbidity After Removal of Impacted Mandibular Third Molar

This study compares the effect of two types of suturing techniques in the postoperative swelling and mouth opening after surgical removal of impacted mandibular third molar. total wound closure will be performed in one group of participants while partial closure will be performed in the other group.

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Key information

Conditions

Swelling Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms Spasm Trismus

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Melaka Manipal Medical College

Malacca, 75150, Malaysia

About this study

Third molar surgeries are mostly associated with pain, swelling and limited mouth opening, referred to as post-operative morbidity. Wound closure technique is an operative factor which is associated with reduced post-operative morbidity. In the total wound closure, the mucoperiosteum is hermetically sealed whereas in the partial wound closure, a window or opening is left to allow for secondary healing. This study therefore compares the effect of partial and total wound closure techniques after surgical extraction of impacted mandibular third molar teeth in reducing the swelling and limited mouth opening.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • all patients undergoing surgical removal of mesioangular impacted mandibular third molar.
  • Healthy patients (ASA I) or patients with mild systemic disease with no functional limitations (ASA II).
  • patients who are not allergic to the drugs and local anesthetic agent used in the surgical protocol.

Exclusion criteria

  • Patients having systemic conditions that might have an effect on the bone growth or periodontal healing.
  • patients who are on antibiotics premedication or any drugs that might affect wound healing.

Treatment and study plan

partial wound closure

Procedure

3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

total wound closure

Procedure

5 interrupted sutures with 2 sutures closing the vertical releasing incision and 3 sutures distal to second molar leading to a complete hermetic closure of the wound.

Primary outcomes

  1. change in the Measurement of mouth opening

    Time frame: baseline( preoperative) and 3rd and 7th day postoperatively.

    mouth opening is measure by measuring the maximum interincisal distance from the incisal edge of maxillary right central incisor to the incisal edge of the lower right central incisor using a vernier calliper in mm.

  2. postoperative swelling

    Time frame: baseline ( preoperative) and 3rd and 7th day postoperatively.

    three line measurements were performed in cm using a measuring tape and mean was taken

Sponsors and collaborators

Lead sponsor

Melaka Manipal Medical College

Other

Registry information

Official study title

Comparing the Effect of Different Suture Techniques on the Post Operative Morbidity After Surgical Removal of Impacted Mandibular Third Molar- A Randomized Clinical Study

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Apr 10, 2018
Registry last updated
Apr 10, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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