A method of knotless wound closure in third molar surgery: a comparison between conventional absorbable sutures and knotless sutures using a split-mouth design.

Not Applicable

Completed

• Conditions: Impacted third molars; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Surgery - Surgical techniques

• Registration Number: ACTRN12621000396820
• Lead Sponsor: igel Tan

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-04-09
• Study Completion: 2022-03-25
• Last Update Posted: 19 April 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

1.Patients referred for third molar removal from a primary care provider
2.Patients who volunteer participation
3.Patients may be either male or female
4.The patient has been screened by the primary investigator or supervising specialist for suitability to participate in the study
5.Are aged between 18 and 44 years
6.Are able to understand verbal and written instructions.
7.Present with bilateral similarly impacted mandibular third molars as determined using Winter’s (1926) classification system , requiring surgical removal
8.Are able to tolerate outpatient oral surgery under local anaesthetic and intravenous sedation
9.ASA l or ll
10.The patient has provided informed consent regarding:
a.Participation in the study
i.The use of knotless sutures in the closure of the surgical wound
b.Surgical removal of third molars under local anaesthetic and intravenous sedation

Exclusion Criteria

1.American society of anaesthesiologists (ASA) physical classification III or IV
2.Polypharmacy (greater than or equal to 5) medications
4.Patients contraindicated to undergo surgical third molar removal
5.Patients contraindicated to treatment under monoagent midazolam IV sedation
6.Opioid and illict drug addiction
7.Patients that have allergies or contraindications to the procedural usage of:
a.midazolam
b.dexamethasone
c.parecoxib
d.paracetamol
e.ibuprofen
f.co-amoxiclav
g.cefazolin
h.clindamycin
i.chlorhexidine
8.The presence of symptomatic pericoronitis.
9.The presence of other pathology in the oral cavity.
10.Patients with poor oral hygiene (plaque >1/3 of tooth surface).
11.Pregnant or lactating women.
12.Male patients who do not agree to facial hair removal.
13.Patients who are unable to give informed consent.
14.Patients who decline participation.
15.Patients who are unable to attend the required follow-up appointments.
16.Patients who are unable to comprehend directions and instructions.
17.Patients unwilling to trim facial hair for the purposes for the measurement of facial swelling

Study & Design

• Study Type: Interventional
• Study Design: Not specified