Postoperative Pain and Swelling After Flap vsFlapless Technique For Mandibular Third Molar Surgery
Comparison of Postoperative Pain and Swelling in Flap Versus Flapless Technique for Surgical Removal of Partially Impacted Mandibular Third Molars: A Randomized Controlled Trial
Watim Medical & Dental College
160 participants
Aug 15, 2024
INTERVENTIONAL
Conditions
Summary
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
Inclusion Criteria6
- Age 18-45 years
- Either gender
- Partially impacted mesioangular mandibular third molar confirmed clinically and radiographically
- Second episode of pericoronitis
- Swelling present on the affected side
- No bone recession or periodontal disease on radiograph
Exclusion Criteria6
- 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
- Severe trismus
- Immunocompromised status
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Interventions
Surgical 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.
Surgical 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
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07247929