Clinical Wound Healing After Lower 3rd Molar Fully-impacted Surgery With 2 Types of Flap

University of Roma La Sapienza

Status: Completed

Conditions: Dehiscence; Quality of Life; Wound Heal

Treatments: Procedure: lower third molar extraction

Study type: Interventional

Funder types: Other

Identifiers

NCT04314765

5478/25.7.19

Details and patient eligibility

About

The dehiscence distal to the second molar after lower third molar extraction is very common because the access flap for surgical extraction cannot be repositioned on a portion of healthy bone to guarantee suture support. The healing process is therefore delayed and the possible accumulation of food and debris is often responsible for bad smell and pain with the consequent occurrence of an overlapping infection.

The main aim of the study is to evaluate whether healing is significantly different using two different flaps for surgical access. Clinical assessment and a quality of life questionnaire are used for the evaluation.

Enrollment: 56 patients

Sex: All

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• fully-impacted lower third molar
• patients aged between 18 and 35

Exclusion criteria

• patients undergoing drug treatment for systemic diseases that can influenced the healing process,
• pregnant women,
• smoking habits
• patients with disabilities
• all interventions in which intraoperative accidents involving the soft tissues occurred (laceration of the mucosa / flap).

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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56 participants in 2 patient groups

bayonet flap

Experimental group

Description:

Bayonet flap is performed to extract the the lower third molar

Treatment:

Procedure: lower third molar extraction

envelope flap

Experimental group

Description:

Envelope flap is performed to extract the the lower third molar

Treatment:

Procedure: lower third molar extraction