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

Not Applicable

Completed

• Conditions: Trismus; Swelling
• Interventions: Procedure: total wound closure; Procedure: partial wound closure

• Registration Number: NCT03492814
• Lead Sponsor: Melaka Manipal Medical College

Brief 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.

Detailed 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.

Study Timeline

• Study Start: 2016-03-10
• Primary Completion: 2018-03-10
• Study Completion: 2018-03-10
• Status Verified: 2018-04
• Study First Submitted: 2018-04-01
• Study First Submitted QC: 2018-04-09
• Last Update Submitted: 2018-04-09
• Study First Posted: 2018-04-10
• Last Update Posted: 2018-04-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Total wound closure	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.
Partial wound closure	partial wound closure	3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

Primary Outcome Measures

Name	Time	Method
change in the Measurement of mouth opening	baseline( preoperative) and 3rd and 7th day postoperatively.	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.
postoperative swelling	baseline ( preoperative) and 3rd and 7th day postoperatively.	three line measurements were performed in cm using a measuring tape and mean was taken

Trial Locations

Locations (1)

Melaka Manipal Medical College; 🇲🇾 Melaka, Malaysia