Does Extraction Difficulty of Mandibular Impacted Third Molars Mirror Post-op Outcomes?

Not Applicable

Recruiting

• Conditions: Impacted Third Molar Tooth
• Interventions: Procedure: Extraction of impacted mandibular third molar

• Registration Number: NCT05049382
• Lead Sponsor: Selcuk University

Brief Summary

The tooth of the patient who applies to the clinic for the impacted wisdom tooth will be classified according to Escoda's difficulty classification. Before the extraction, patients' interincisal, tragus-commissural, and lateral canthus-angulus distances, Oral Health Impact Profile -14 (OHIP-14) scores, and serum levels of CRP and D-Dimer will be measured.

Operation time will be recorded. After the operation, on 4th-day patients' patients' interincisal, tragus-commissural, and lateral canthus-angulus distances, Oral Health Impact Profile -14 (OHIP-14) scores, and serum levels of CRP and D-Dimer and Visual Analogue Scale (for pain) scores will be measured and recorded. On the 10th day, all these measurements will be repeated.

All recorded data will be evaluated for possible correlations based on extraction difficulties.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-09-10
• Study First Submitted QC: 2021-09-10
• Study First Posted: 2021-09-20
• Study Start: 2024-04-09
• Status Verified: 2024-06
• Last Update Submitted: 2024-11-27
• Last Update Posted: 2024-12-03
• Primary Completion: 2024-12-15
• Study Completion: 2025-02-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 159

Inclusion Criteria

• Having extraction of only the mandibular third molar
• No systemic disease
• Signing an informed consent
• No dental phobia or anxiety
• No lesion around the impacted tooth
• Presence of adjacent second molar

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Exclusion Criteria

• Infection after surgery
• Alveolar osteitis
• Not to participate in any follow-up control appointments

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
High Difficulty	Extraction of impacted mandibular third molar	Classified as high difficulty according to Escoda's classification
Low Difficulty	Extraction of impacted mandibular third molar	Classified as low difficulty according to Escoda's classification
Modarate Difficulty	Extraction of impacted mandibular third molar	Classified as modarate difficulty according to Escoda's classification

Primary Outcome Measures

Name	Time	Method
Operation time	after the operation	Duration of surgical intervention
lateral canthus-angulus distance	before the surgery, 4th and 10th days	the distance between lateral canthus and angulus in relevant side will be measured before the surgery, on the 5th and 10th day. The changes will be evaluated.
D-Dimer serum level	before the surgery and 4th day	Serum levels of D-Dimer will be measured via blood samples before the surgery and the 5th day.
interincisal distance change	before the surgery, 4th and 10th days	The distance between the right upper central incisor incisal line and the right upper incisor incisal line will be measured before the surgery, on the 5th and 10th day. The changes will be evaluated.
tragus-commissura distance	before the surgery, 4th and 10th days	the distance between tragus and angulus in relevant side will be measured before the surgery, on the 5th and 10th day. The changes will be evaluated.
OHIP-14 score	before the surgery, 4th and 10th days	Oral Health Impact Profile Score(14-70; higher is worse)
CRP serum level	before the surgery and 4th day	Serum levels of CRP will be measured via blood samples before the surgery and the 5th day.
VAS score	4th and 10th days	Visual analog scale score(0-10; higher is worse)

Trial Locations

Locations (1)

Selcuk University, Dentistry Faculty; 🇹🇷 Selçuklu, Konya, Turkey