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Clinical Trials/NCT06266052
NCT06266052UnknownNot Applicable

the Effects of Four Different Flap Designs on Healing Lower Third Molar Surgery

Recep Tayyip Erdogan University2 sites in 2 countries100 target enrollmentStarted: January 20, 2024Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Sponsor
Enrollment
100
Locations
2
Primary Endpoint
Eudema Amount

Study Overview

Brief Summary

The aim of this study is to prospectively evaluate the effectiveness of 4 different flap types used during mandibular impacted wisdom teeth surgery on postoperative quality of life, soft tissue and hard tissue healing at the end of the 3rd month.

Detailed Description

Patients will be randomly included in 4 groups with 4 different incision types planned among the patients who will apply for impacted third molar tooth extraction, and each group will consist of 25 patients. Triangular flap will be applied to the patients in Group 1, Berwick incision will be applied in Group 2, Suarez incision will be applied in Group 3, and Heitz incision will be applied in Group 4.The operation time will be recorded on the form. The operation time will be evaluated as the period from anesthesia to the last suture. The patient will be called for control on the 2nd and 7th days after the operation. During control periods, pain value will be recorded using a VAS scale numbered between 0 and 10. Parameter data such as trismus, edema, halitosis, color of the healing tissue, presence/type of granulation will be recorded on the forms created during the control periods, and the patients' sutures will be removed on the 7th control day, as is done in impacted third molar surgery. Patients will be called for a check-up at the end of 3 months to detect hard tissue healing, and a panoramic radiography will be taken to check hard tissue healing. Using the patient's 3rd month follow-up x-rays, fractal analysis will be performed in the area to evaluate the quality of the newly formed bone in the extracted tooth area.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 45 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Patients aged between 18-45
  • Do not have a systemic disease that prevents tissue healing
  • Patients needed impacted third surgery

Exclusion Criteria

  • Allergic conditions
  • Patients with low oral hygiene

Arms & Interventions

Group 4

Experimental

Heitz

Intervention: Heitz Flap (Procedure)

Group 1

Experimental

triangular flep design will be use in third molar impacted surgery

Intervention: Triangular Flap (Procedure)

Group 2

Experimental

Berwick flep design will be use in third molar impacted surgery

Intervention: Berwick Flap (Procedure)

Group 3

Experimental

Saurez flep design will be use in third molar impacted surgery

Intervention: Saurez Flap (Procedure)

Outcomes

Primary Outcomes

Eudema Amount

Time Frame: postoperative second and 7.th day

5 separate length measurements will be made on the face using a flexible ruler. (mm)

Pain Level

Time Frame: postoperative second and 7.th day

Pain values will be determined with vas scales numbered 0-10.

Halitosis Amount

Time Frame: postoperative second and 7.th day

It will be evaluated as presence/absence of halitosis. 0/1

Trismus Level

Time Frame: postoperative second and 7.th day

the distance between the incisal edges of the lower and upper teeth during maximum mouth opening will be measured in millimeters with a ruler. (mm)

bone healing condition

Time Frame: preoperative and postoperative 3th month

With the help of a program, the amount of trabeculae in the bone will be counted by the box counting method and a numerical value will be obtained.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
Recep Tayyip Erdogan University
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Zeynep Gumrukcu

Associate Professor

Recep Tayyip Erdogan University

Study Sites (2)

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