The Efficacy of Autogenous Dentin Graft in Mandibular Wisdom Tooth Extraction

University of Medicine and Pharmacy at Ho Chi Minh City13 enrolled

Overview

The study aimed to investigate clinical effect of autogenous dentin graft on patients following mandibular wisdom tooth extraction. The primary outcomes are pain, swelling, trismus and soft tissue healing index within one week after surgery. The investigators also measured periodontal healing of distal aspect of the adjacent second molar up to 2 year after the surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Periodontal Pocket Swelling Lips & Face Trismus Pain, Acute

Interventions

Autogenous dentin graftPROCEDURE

Dentin graft is made from the participant extracted tooth by using Kometa Smart Dentin Grinder

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Over 18 years old * Symmetry mandibular third molars * Symmetry maxillary third molars with no caries or periodontal disease * Mandibular second molars are available Exclusion Criteria: * Systematic health has contraindication for surgery * Pregnant or breastfeeding women * Allergy with Lidocaine * Abnormal signs surrounding mandibular third molars

Locations (1)

Son Hoang Le

Ho Chi Minh City, District 5, Vietnam

Outcomes

Primary Outcomes

Rate of self-reported pain

Pain is measured by self-reported Likert scale from 0 to 5. Higher score indicated more painful situation. Result is reported by the mean score.

Time frame: 3 days, 7 days

Self-reported swelling

Patients reported their perception about swelling levels. There are 6 levels of this scale, score from 0 to 5. Higher score means more swelling.

Time frame: 3 days, 7 days

Trismus

Trismus is measured by difference of maximal mouth opening between post-and pre-operative wisdom tooth surgery. Maximal mouth opening is mueasured by distance of mesial incisal edge of maxillary and mandibular central incisor.

Time frame: 3 days, 7 days

Soft tissue healing score

The soft tissue healing score is evaluated according to Hamzami (2018). It includes 8 sub-items. Each item is recorded as 0 or 1 (score). Then, total score of the first 30 days (3 evaluation time) is used to classify wound healing level (good, acceptable, and bad).

Time frame: 3 days, 7 days, 30 days

Aveolar height

Aveolar height is measured as the distance from cementoenamel joint on distal surface of second molar to the aveolar ridge. The landmark points are defined on periapical film. The aveolar height is measured at 7 days, 3 months, 6 months and 2 years after the surgery.

Time frame: 7 days, 2 months, 6 months, 2 years

Swelling measured by facial dimension

Difference of distances of facial landmark points between post-and pre-operative wisdom tooth surgery. Two distances (AB and CD) from 4 landmark points are used for measurement: A - lateral commissure of the eye, B - gonion, C - tragus, and D - lateral commissure of the lips.

Time frame: 3 days, 7 days

Data from ClinicalTrials.gov

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