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

Trismus Clinical Trial

Official 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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03492814
• Other study ID #: MMMC/FOD/AR/B4/E C-2016(24)
• Status: Completed
• Phase: N/A
• First received: April 1, 2018
• Last updated: April 9, 2018
• Start date: March 10, 2016
• Est. completion date: March 10, 2018

Study information

• Verified date: April 2018
• Source: Melaka Manipal Medical College
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: March 10, 2018
• Est. primary completion date: March 10, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Swelling
• Tooth, Impacted
• Trismus

Intervention

Procedure:
• partial wound closure
3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.
• total wound closure
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.

Locations

Country	Name	City	State
Malaysia	Melaka Manipal Medical College	Melaka

Sponsors (1)

Lead Sponsor	Collaborator
Melaka Manipal Medical College

Country where clinical trial is conducted

Malaysia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	change in the Measurement of mouth opening	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.	baseline( preoperative) and 3rd and 7th day postoperatively.
Primary	postoperative swelling	three line measurements were performed in cm using a measuring tape and mean was taken	baseline ( preoperative) and 3rd and 7th day postoperatively.