Health TrialsbyHealthPanel

Comparison of Electrocautery and Scalpel Blade Incisions of Impacted Mandibular Third Molars

ConditionImpacted Mandibular Third Molar
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age15-65
SponsorRiphah International University

About this trial

This randomized controlled trial aims to compare electrocautery and scalpel blade incisions during surgical extraction of impacted mandibular third molars. The study will evaluate postoperative pain, intraoperative blood loss, and wound healing in patients undergoing third molar surgery. A total of 78 participants will be randomly allocated in a 1:1 ratio to receive either a scalpel blade incision or an electrocautery incision under standardized surgical conditions.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male and female patients.

Age 15 to 65 years.

Patients requiring surgical extraction of an impacted mandibular third molar. Patients classified as ASA I or ASA II.

Patients willing to provide written informed consent, or assent with parent/guardian permission where applicable, and attend scheduled follow-up visits

Disqualifiers

* Patients with uncontrolled systemic disease or immuno-compromised status.

Patients with bleeding disorders or those taking anticoagulant/antiplatelet drugs that cannot be safely withheld according to physician advice.

Patients with pacemaker or implanted electrical cardiac device.

Pregnant or lactating patients.

Trial design

Design model

Parallel

Treatments tested in this trial

  • scalpel blade incision

    Procedure/Surgery

    A sterile No. 15 stainless-steel scalpel blade will be used to make the mucoperiosteal flap incision during surgical extraction of the impacted mandibular third molar.

  • electrocautery incision

    Procedure/Surgery

    A fine electrocautery electrode in cutting mode at a standardized effective power setting will be used to make the mucoperiosteal flap incision during surgical extraction of the impacted mandibular third molar.

Treatment groups

78 Participants
are divided into 2 treatment groups
Group A: scalpel blade incision groupExperimental treatment 1 intervention
Group B: electrocautery incision groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

postoperative pain

Postoperative pain at the surgical site will be assessed using a 0-10 Visual Analogue Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain

Time frame
24 hours, 48 hours, and 7 days after surgery.

Secondary outcomes

1

intraoperative blood loss

Total blood loss will be calculated as the increase in gauze weight plus the suction-canister volume after subtracting the recorded irrigation volume. Results will be reported in milliliters (mL).

Time frame
During surgery (from first incision to final suture).
2

wound healing

Wound healing will be assessed using the Landry Wound Healing Index, scored from 1 (very poor) to 5 (excellent).

Time frame
1 week and 4 weeks after surgery.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: