The Effect of Chlorhexidine + Hyaluronic Acid on Postoperative Wound Healing After Lower Third Molar Removal

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorUniversity of Pecs

About this trial

Our aim is to evaluate chlorhexidine-hyaluronic acid containing gel on postoperative wound healing regarding impacted lower third molar surgery.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

patients having lower impacted third molar

impaction pattern Pell-Gregory II/A, III/A, I/B, II/B, III/B that means partially impacted, partially erupted teeth, where primary wound closure is usually not possible;

Disqualifiers

systemic disease (diabetes, steroids, antiresorptive therapy);

allergy on gel's compounds;

pregnancy;

active or subacute local infection at third molar tooth (pericoronitis);

Trial design

Design model

Parallel

Treatments tested in this trial

  • Third molar surgery

    Procedure/Surgery

    During the operation, after local anaesthetics (LIDOCAIN-ADRENALIN 20 mg/0,01 mg/ml) the same mucoperiosteal (sulcular flap without vertical incision) is raised. Bone removal happens with physio-dispenser driven surgical handpiece (60ml/min irrigation; 8.000-16.000 rpm) and tungsten carbide round drills. Tooth section is made where indicated. After tooth removal wound is rinsed with 10-20ml physiologic salt, the wound is closed with 4.0 monofil non-resorbable suture material and then gel test or placebo is injected with syringe and applicator tip into the wound and on the surface of the wound. Patient bites a gauze for 20 minutes.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Curasept DNA ADS periodontal gelExperimental treatment 1 intervention
Group B: Placebo gel wound dressingPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Wound healing

Scoring wound healing according to Inflammatory Proliferative Remodelling (IPR) Wound Healing Scale: 0-16: the smaller number indicates the poorer outcome

Time frame
From enrollment to the end of treatment at 2 weeks

Secondary outcomes

1

Mouth opening

Time frame
From enrollment to the end of treatment at 2 weeks
2

Subjective pain level

Visual Analogue Scale (VAS) 0-10: the higher number indicates the more intense pain.

Time frame
From enrollment to the end of treatment at 2 weeks
3

Face swelling

Time frame
From enrollment to the end of treatment at 2 weeks
4

Taken analgesics (questionaire)

Reported amount of taken analgesics: 400 mg ibuprofen in each 6 hours in the first 48 hours, and after that as needed, but maximum 400 mg ibuprofen/6 hours +/- 500 mg paracetamol/6 hours.

Time frame
From enrollment to the end of treatment at 2 weeks

Other outcomes

1

Probing pocket depth

second molar

Time frame
From enrollment to the end of treatment at 2 weeks

Sponsors and contacts

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