Postoperative Pain and Swelling After Flap vsFlapless Technique For Mandibular Third Molar Surgery
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorWatim Medical & Dental College
About this trial
This randomized controlled trial evaluates postoperative pain and facial swelling following surgical removal of partially impacted mandibular third molars using flap versus flapless techniques. The aim is to determine which method results in lower postoperative morbidity on the second postoperative day.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18-45 years
Either gender
Partially impacted mesioangular mandibular third molar confirmed clinically and radiographically
Second episode of pericoronitis
Disqualifiers
HIV or HBV infection
Diabetes or other metabolic disorders
Bleeding disorders including von Willebrand disease, thalassemia, hemophilia, thrombocytosis, or thrombocytopenia
Periapical infection or acute pericoronitis at time of surgery
Trial design
Design model
Parallel
Treatments tested in this trial
flap technqiue for mandibular third molar extraction Arm A
Procedure/SurgerySurgical extraction performed using a mucoperiosteal flap. A Ward's or modified Ward's incision is placed with a No. 15 blade. The flap is elevated to expose bone, followed by bone guttering with a straight fissure bur under saline irrigation. Tooth sectioning is carried out and fragments are removed. The socket is irrigated with saline and the flap is repositioned and sutured with 3-0 black braided silk.
flapless technquie arm b
Procedure/SurgerySurgical extraction of partially impacted mandibular third molar without raising a mucoperiosteal flap. Only minimal gingival reflection is performed using a periosteal elevator. Bone guttering and tooth sectioning are carried out using a bur under saline irrigation. Tooth fragments are removed. The socket is irrigated with saline and 0.2% chlorhexidine. No sutures are placed, and the site is allowed to heal by secondary intention
Treatment groups
160 Participants
are divided into 2 treatment groupsGroup A: flap technqiueExperimental treatment 1 intervention
Group B: flapless technquieExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
postoperative pain score
Pain will be assessed on the 2nd postoperative day using the Visual Analogue Scale (VAS) ranging from 0 = no pain to 10 = worst pain. Patients will be instructed to rate their pain by marking a score on the 10-point VAS.
Time frame
2nd postoperative day2
facial swelling measurement
Measurements will be recorded in millimeters as: A = Gonion-Tragus B = Gonion-Outer canthus C = Gonion-Ala D = Gonion-Angle of mouth E = Gonion-Pogonion Total swelling = A + B + C + D + E. This method is described in the Operational Definition section of your synopsis.
Time frame
2nd postoperative daySponsors and contacts
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Source ClinicalTrials.gov