The Effect of Collagen Sponge Placed in the Socket After Surgical Extraction of Mandibular Third Molars on the Incidence of Alveolar Osteitis. A Randomized Controlled Trial
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Alveolar Osteitis
- Sponsor
- Riyadh Colleges of Dentistry and Pharmacy
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Pre-extraction Pain score
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this randomized controlled trial is to compare pain, mouth opening, and alveolar osteitis following surgical extraction of bilateral symmetrical impacted lower third molars using two types of wound closures. Collagen plugs will be applied in the sockets of the study side followed by suture, while the controlled side will be sutured without a collagen plug. The study will include 40 patients aged between 18- 40 years old, medically fit (ASA1), who have bilateral symmetrical impacted lower third molars and visit the oral surgery clinics of King Saud Medical City for extraction. The main question is" Does intra-alveolar collagen application after surgical extraction of impacted lower third molars reduce the incidence of alveolar osteitis?
Investigators
Nedal Abu-Mostafa
Assistant Professor in Oral and Maxillofacial Surgery
Riyadh Colleges of Dentistry and Pharmacy
Eligibility Criteria
Inclusion Criteria
- •Forty patients aged between 18- 40 years old, ASA1, who have bilateral symmetrical impacted lower third molars and visit the oral surgery clinics of King Saud Medical City for extraction.
Exclusion Criteria
- •Uncontrolled systemic diseases, diabetes, bone diseases, smokers, epinephrine contraindications, pregnant women, breastfeeding women, and those who were using oral contraceptives.
- •Other exclusion criteria are the presence of acute infection and facial swelling, cystic lesions, and TMJ problems. Moreover, any surgical extraction that lasts more than 30 minutes +/- 5 minutes, or has been done without the whole standardized steps will be excluded.
Outcomes
Primary Outcomes
Pre-extraction Pain score
Time Frame: Pre-extraction
Pain measurement by VAS (0-10). 0: no pain. 10: worst pain
Pain score Day3
Time Frame: 3 days after extraction
Pain measurement by VAS (0-10). 0: no pain. 10: worst pain
Halitosis Day7
Time Frame: 7 days after extraction
Halitosis in reported in the presence of a bad odor that is smelled by the investigator during the patient's speech
Pre-extraction Mouth opening
Time Frame: Pre-extraction
Maximum Mouth opening is taken by a caliber
Pre-extraction Halitosis
Time Frame: Pre-extraction
Halitosis in reported in the presence of a bad odor that is smelled by the investigator during the patient's speech
Mouth opening Day7
Time Frame: 7 days after extraction
Maximum Mouth opening is taken by a caliber
Alveolar osteitis
Time Frame: After 3 days of extraction
is diagnosed if the patient complains of pain (more than 5) between day 2 and day 4 with empty sockets and food debris, with or without halitosis
Pain score Day7
Time Frame: 7 days after extraction
Pain measurement by VAS (0-10). 0: no pain. 10: worst pain