Clinical trial NCT06266052: Evaluation of the Effects of Four Different Flap Designs on Tissue Healing in Lower Third Molar Surgery
Official title: the Effects of Four Different Flap Designs on Healing Lower Third Molar Surgery
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Soft Tissue Injuries
Keywords: third molar surgery
flap design
fractal analysis
soft tissue healing
Lead sponsor: Recep Tayyip Erdogan University
Sponsor class: OTHER
First posted: 2024-02-20
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility 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

Primary outcomes:
measure: Eudema Amount
timeFrame: postoperative second and 7.th day
measure: Pain Level
timeFrame: postoperative second and 7.th day
measure: Trismus Level
timeFrame: postoperative second and 7.th day
measure: Halitosis Amount
timeFrame: postoperative second and 7.th day
measure: bone healing condition
timeFrame: preoperative and postoperative 3th month
Secondary outcomes:
Other outcomes:
Locations:
city: Rize
country: Turkey
facility: RTEU Faculty of Dentistry
Study officials:
affiliation: PhD DDS
name: zeynep gümrükçü, Dr
role: STUDY_DIRECTOR
References: