Comparative evaluation of suture versus suture-less procedures in impacted mandibular third molar extraction: A Randomized Controlled Trial
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- To evaluate the post-operative swelling, bleeding and discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery.
研究概览
简要总结
The extraction of impacted third molars through surgery is a frequently performed procedure that encompasses various methods and subjective viewpoints. Many practitioners concur that the duration of the surgery, degree of trauma, and level of complexity significantly influence complications after the operation. The primary goal of the surgery is to efficiently and meticulously extract the impacted tooth while minimizing complications. Throughout time, there have been differing perspectives on the techniques of primary and secondary wound closure.
The surgical approach for the removal of lower third molars is different as the reflection of soft tissues and the amount of bone removed is substantially greater than other surgical tooth extractions
The primary closure of a third molar flap is based on fundamental surgical principles and endorsed by Howe, Archer, Guralnick, Kruger, Waite, Thoma, Killey, and Peterson.(1) Conversely, secondary intention is advocated by other authors like Hunter, Bourgoyne, Blair, Ivey, Padgett, and Mead to enhance irrigation and drainage.
Dubois reported a comparison of primary and secondary closure techniques after removal of impacted mandibular third molars in 46 patients but the differences were insignificant.(1)
The purpose of this study is to report the surgical outcomes of one surgeons standard third molar procedure and compare the results with the results of surgical procedures involving placement of sutures for disimpaction of mandibular third molars.
Aim of the study : To evaluate the efficacy of suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery.
Objective :
l To evaluate the post-operative swelling, bleeding and discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 52.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patients aged 20 – 52 years.
- •2.Impacted mandibular third molar (mesioangular, vertical.) 3.Patient who give consent for the following treatment.
排除标准
- •sion criteria : 1.Patient who are affected by systemic illness.
- •2.Patients who are immunocompromised.
- •3.Patient who did not give the consent for following treatment.
- •4.Patients with history of chemotherapy and radiotherapy.
- •5.Patients with infectious third molar/wound (pericoronitis/infected).
结局指标
主要结局
To evaluate the post-operative swelling, bleeding and discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery.
时间窗: To evaluate the post-operative swelling, bleeding and discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery at day 0, day 3 and day 5.
次要结局
- To evaluate the post-operative bleeding & discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery.(To evaluate the post-operative bleeding & discomfort of the patient in suture-less surgical procedure against sutured surgical procedure in disimpaction of mandibular third molar surgery at day 0, day 3 & day 5)
研究者
Akash Mandal
KAHER KLE Vishwanath Katti Institute of Dental Sciences