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

Melaka Manipal Medical College

Status: Completed

Conditions: Swelling; Trismus

Treatments: Procedure: total wound closure; Procedure: partial wound closure

Study type: Interventional

Funder types: Other

Identifiers

NCT03492814

MMMC/FOD/AR/B4/E C-2016(24)

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 30 patients

Sex: All

Ages: 20+ years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Partial wound closure

Experimental group

Description:

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

Treatment:

Procedure: partial wound closure

Total wound closure

Active Comparator group

Description:

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.

Treatment:

Procedure: total wound closure