Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05032989 |
| Other study ID # |
wajid001 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
September 15, 2021 |
| Est. completion date |
June 2022 |
Study information
| Verified date |
August 2021 |
| Source |
Dow University of Health Sciences |
| Contact |
Syed Wajid Hasan, BDS |
| Phone |
03351350139 |
| Email |
syedwajidhasan[@]gmail.com |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Mandibular 3rd molars are the most commonly impacted teeth in oral cavity followed by
maxillary 3rd molars and maxillary canines respectively. Impaction is a condition where a
tooth fails to erupt in its final functional position, theoretically owing to inadequate
space distal to the second mandibular molar and the anterior border of the ascending ramus of
the mandible . Surgical removal of the third molar is the most common procedure carried out
by a maxillofacial surgeon in the dental office. Surgical extractions are time consuming,
expensive and cause morbidities such as pain, swelling, dry socket, trismus, and nerve injury
when compared to non-surgical extractions. Various classifications have been proposed for
mandibular 3rd molars, most common of which, is based on angulation of impacted tooth to the
long axis of 2nd molar. Distoangular impacted 3rd molars are very difficult to remove because
of lack of space distal to the tooth and lack of interdental space available for the
application of elevator. Cowhorn forcep engages between the bifurcation of the mandibular
molars and below the bone crest and causes displacement of tooth by upward movement or by
splitting mesial and distal root. In our study cowhorn forcep are fist placed between 2nd and
3rd molar below the cementoenamel junction after its placement an apical pressure in applied
and this rotation results an upward and distal movement and displacement of impacted tooth
from the socket which then can easily be removed with cow horn forcep or molar crown forcep.
The aim of our study is to present the minimal invasive technique for the extraction of
distoangular and vertical impacted mandibular 3rd molars using cow horn forcep in comparison
to conventional surgical techniques to avoid complications associated with open surgical
techniques .
METHOD:
Total 128 patients will be recruited and divided into 64 patients in each group (two groups)
attending in Dr. inshrat ul ebad institute of oral health sciences, Ojha, fulfilling
inclusion criteria and undergoing extraction of 3rd molars will be included in this study.
The participant will be briefed about the nature and purpose of the study. They will be
ensured that their information will be used for the study purpose only. Informed consent from
the participants will be obtained. Complete history from the patients will be taken and
pre-operative evaluation will be done by clinical (pain and swelling) and radiographical
(angulation of the tooth) examination. All the patients would undergo extraction of 3rd
molars via both either conventional surgical technique or the proposed technique in the
study. Followup will be done after 3 days to evaluate the same post-operative variables (pain
and swelling) after extraction of 3rd molar and both techniques will then be compared in
terms of variables measured.
Description:
Mandibular 3rd molars are the most commonly impacted teeth in oral cavity followed by
maxillary 3rd molars and maxillary canines respectively. Impaction is a condition where a
tooth fails to erupt in its final functional position, theoretically owing to inadequate
space distal to the second mandibular molar and the anterior border of the ascending ramus of
the mandible . Surgical removal of the third molar is the most common procedure carried out
by a maxillofacial surgeon in the dental office. Surgical extractions are time consuming,
expensive and cause morbidities such as pain, swelling, dry socket, trismus, and nerve injury
when compared to non-surgical extractions. Various classifications have been proposed for
mandibular 3rd molars, most common of which, is based on angulation of impacted tooth to the
long axis of 2nd molar. Distoangular impacted 3rd molars are very difficult to remove because
of lack of space distal to the tooth and lack of interdental space available for the
application of elevator. Cowhorn forcep engages between the bifurcation of the mandibular
molars and below the bone crest and causes displacement of tooth by upward movement or by
splitting mesial and distal root. In our study cowhorn forcep are fist placed between 2nd and
3rd molar below the cementoenamel junction after its placement an apical pressure in applied
and this rotation results an upward and distal movement and displacement of impacted tooth
from the socket which then can easily be removed with cow horn forcep or molar crown
forcep.The aim of our study is to present the minimal invasive technique for the extraction
of distoangular and vertical impacted mandibular 3rd molars using cow horn forcep in
comparison to conventional surgical techniques to avoid complications associated with open
surgical techniques .
Objective:
To compare the effectiveness of new technique using cow horn forcep with conventional
surgical method among patients with vertical and distoangular lower third molar impactions
requiring extraction.
Method:
Total 128 patients will be recruited and divided into 64 patients in each group (two groups)
attending in Dr. inshrat ul ebad institute of oral health sciences, Ojha, fulfilling
inclusion criteria and undergoing extraction of 3rd molars will be included in this study.
The participant will be briefed about the nature and purpose of the study. They will be
ensured that their information will be used for the study purpose only. Informed consent from
the participants will be obtained. Complete history from the patients will be taken and
pre-operative evaluation will be done by clinical (pain and swelling) and radiographical
(angulation of the tooth) examination. All the patients would undergo extraction of 3rd
molars via both either conventional surgical technique or the proposed technique in the
study. Followup will be done after 3 days to evaluate the same post-operative variables (pain
and swelling) after extraction of 3rd molar and both techniques will then be compared in
terms of variables measured.
