Does Extraction Difficulty of Mandibular Impacted Third Molars Mirror Post-op Outcomes?

Study Overview
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Brief Summary
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The tooth of the patient who applies to the clinic for the impacted wisdom tooth will be classified according to Pell-Gregory and Winter Classifications. Before the extraction, patients' interincisal, tragus-commissural, and lateral canthus-angulus distances, and Oral Health Impact Profile -14 (OHIP-14) scores will be measured. Operation time will be recorded. After the operation, on 3rd-day patients' interincisal, tragus-commissural and lateral canthus-angulus distances, OHIP-14 scores, and Visual Analogue Scale scores will be recorded. On the 7th and 14th day, all these measurements will be replied. On the 30th day and the 60th day, OHIP-14 scores will be measured again. All these data will be evaluated to find any correlation between; operation time, classification, and post-op outcomes.

Official Title
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Does Extraction Difficulty of Mandibular Impacted Third Molars Mirror Post-op Outcomes?

Conditions
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Impacted Third Molar Tooth

Intervention / Treatment
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* Procedure: Extraction of impacted mandibular third molar


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having extraction of only the mandibular third molar No systemic disease Signing an informed consent No dental phobia or anxiety No lesion around the impacted tooth Presence of adjacent second molar At least 35 mm mouth opening Non-rooted or parallel-rooted tooth Partial bony impaction or intraosseous impacted tooth Presence of infection at the surgery zone Exclusion Criteria: Infection after surgery Alveolar osteitis Not to participate in any follow-up control appointments Lasting less than 10 minutes or more than 50 minutes operations

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pell-Gregory Classification Group 1-A<br>Classified as Group 1-A according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 1-B<br>Classified as Group 1-B according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 1-C<br>Classified as Group 1-C according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 2-A<br>Classified as Group 2-A according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 2-B<br>Classified as Group 2-B according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 2-C<br>Classified as Group 2-C according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 3-B<br>Classified as Group 3-B according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|
| Experimental: Pell-Gregory Classification Group 3-C<br>Classified as Group 3-C according to Pell-Gregory Classification | Procedure: Extraction of impacted mandibular third molar<br>* surgical extraction of impacted mandibular third molar tooth<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| interincisal distance | the distance between right upper central incisor incisal line and right upper incisor incisal line | 0th day | 
| tragus-commissura distance | the distance between tragus and angulus in relevant side | 0th day | 
| lateral canthus-angulus distance | the distance between lateral canthus and angulus in relevant side | 0th day | 
| OHIP-14 score | Oral Health Impact Profile Score(14-70; higher is worse) | 0th day | 
| VAS score | Visual analog scale score(0-10; higher is worse) | 3rd day | 
| Operation time | Duration of surgical intervention | During the operation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| interincisal distance | the distance between right upper central incisor incisal line and right upper incisor incisal line | 3rd and 10th day | 
| tragus-commissura distance | the distance between tragus and angulus in relevant side | 3rd and 10th day | 
| lateral canthus-angulus distance | the distance between lateral canthus and angulus in relevant side | 3rd and 10th day | 
| VAS score | Visual analog scale score(0-10; higher is worse) | 10th day | 
| OHIP -14 score | Oral Health Impact Profile Score(14-70; higher is worse) | 3rd, 10th and 30th day |