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Evaluation of Dental CT (cone beam computed tomography) use in preventing the development of nerve injury after lower wisdom teeth removal as compared to OPG (orthopantomography)

Not Applicable
Conditions
Health Condition 1: K011- Impacted teeth
Registration Number
CTRI/2023/05/052757
Lead Sponsor
Datta Meghe Institute of Higher Education and Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Clinical inclusion criteria:

1.One or both mandibular third molars

2.Age between 18 -50 years

3.Healthy patients or those with controlled medical comorbidities (ASA 1 or 2)

4.Patient willing to undergo surgery for removal of impacted mandibular third molars.

Radiographic Inclusion Criteria:

Close approximation of roots of lower third molars to the mandibular canal as evidenced by the observance of one or more radiographic signs belonging to Rood & Shehab’s criteria namely darkening of the root, dark and bifid root, deflection of the roots, narrowing of the roots, interruption of the white line of the mandibular canal wall, diversion of the mandibular canal, and narrowing of the canal [11].

Exclusion Criteria

1.Patients either below 18 or above 50 years of age

2.Uncontrolled medically compromised conditions

3.Patients with previous history of any nerve disorders or any disease with nerve involvement

4.Patients not willing to undergo surgery for removal of impacted mandibular third molars

Radiographic Exclusion Criteria:

Patients with impacted mandibular third molars that are not in close proximity to the inferior alveolar neurovascular bundle

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Inferior alveolar nerve injury manifested as either numbness or paresthesia or anesthesia or burning along the distribution of the nerveTimepoint: day 1 - day 7 after removal of mandibular third molars
Secondary Outcome Measures
NameTimeMethod
The secondary outcome will include the number of patients with an objective IAN injury & permanent IAN injury more than 6 months duration.Timepoint: 6 months after the surgical removal of impacted mandibular third molars
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