Evaluation of the Effects of Four Different Flap Designs on Tissue Healing in Lower Third Molar Surgery

Recep Tayyip Erdogan University

Status: Invitation-only

Conditions: Soft Tissue Injuries

Treatments: Procedure: Berwick Flap; Procedure: Triangular Flap; Procedure: Saurez Flap; Procedure: Heitz Flap

Study type: Interventional

Funder types: Other

Identifiers

NCT06266052

2019/04

Details and patient eligibility

About

The aim of this study is to prospectively evaluate the effectiveness of 4 different flap types used during mandibular impacted wisdom teeth surgery on postoperative quality of life, soft tissue and hard tissue healing at the end of the 3rd month.

Full description

Patients will be randomly included in 4 groups with 4 different incision types planned among the patients who will apply for impacted third molar tooth extraction, and each group will consist of 25 patients. Triangular flap will be applied to the patients in Group 1, Berwick incision will be applied in Group 2, Suarez incision will be applied in Group 3, and Heitz incision will be applied in Group 4.The operation time will be recorded on the form. The operation time will be evaluated as the period from anesthesia to the last suture. The patient will be called for control on the 2nd and 7th days after the operation. During control periods, pain value will be recorded using a VAS scale numbered between 0 and 10. Parameter data such as trismus, edema, halitosis, color of the healing tissue, presence/type of granulation will be recorded on the forms created during the control periods, and the patients' sutures will be removed on the 7th control day, as is done in impacted third molar surgery. Patients will be called for a check-up at the end of 3 months to detect hard tissue healing, and a panoramic radiography will be taken to check hard tissue healing. Using the patient's 3rd month follow-up x-rays, fractal analysis will be performed in the area to evaluate the quality of the newly formed bone in the extracted tooth area.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

1. Patients aged between 18-45
2. Do not have a systemic disease that prevents tissue healing
3. Patients needed impacted third surgery

Exclusion Criteria

1. Pregancy
2. Allergic conditions
3. Diabetes
4. Smokers
5. Patients with low oral hygiene

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 4 patient groups

Group 1

Experimental group

Description:

triangular flep design will be use in third molar impacted surgery

Treatment:

Procedure: Triangular Flap

Group 2

Experimental group

Description:

Berwick flep design will be use in third molar impacted surgery

Treatment:

Procedure: Berwick Flap

Group 3

Experimental group

Description:

Saurez flep design will be use in third molar impacted surgery

Treatment:

Procedure: Saurez Flap

Group 4

Experimental group

Description:

Heitz

Treatment:

Procedure: Heitz Flap