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

Melaka Manipal Medical College30 enrolled

Overview

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.

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Swelling Trismus

Interventions

partial wound closurePROCEDURE

3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

total wound closurePROCEDURE

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.

Eligibility

Sex: ALLMin age: 20 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Locations (1)

Melaka Manipal Medical College

Malacca, Malaysia

Outcomes

Primary Outcomes

change in the Measurement of mouth opening

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.

Time frame: baseline( preoperative) and 3rd and 7th day postoperatively.

postoperative swelling

three line measurements were performed in cm using a measuring tape and mean was taken

Time frame: baseline ( preoperative) and 3rd and 7th day postoperatively.

Data from ClinicalTrials.gov

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