]>
IRCT20230714058773N2 IRCT 2023-09-03 Armed forces institute of dentistry CMH Rawalpindi Comparison of standard incision and comma shaped incision for impacted mandibular third molar surgery Comparison of standard incision and comma shaped incision for impacted mandibular third molar surgery 2018-10-03 anticipated 100 Complete https://irct.ir/trial/71295 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Non-probability, Consecutive sampling was done in startified randomization by allotment of random numbers.Randomization was done by giving Odd numbers to the intervention group and even numbers to the control group. N/A Condition 1: Third molar impacted and embedded teeth. Condition 2: Third molar embedded teeth. Intervention 1: Intervention group: A total of 50 cases with fully impacted lower third molars of age 18-45 years and both genders were included. Pregnant women, nursing mothers, patient with non-localized odontogenic infection, tooth associated with pathologies i.e. cysts, mandibular angle fractures, tumors, patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease were excluded. Surgical removal of impacted mandibular third molar was done under local anaesthesia using comma shaped incisions. Postoperative pain experienced by patient after third molar surgery was assessed at 24 hours after extraction on 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain. If VAS ≥ 7 then it was considered pain. Mouth opening was measured after 24 hours of surgery as interincisal distance in millimeters and patient had trismus if interincisal mouth opening is less than or equal to 29 mm. Swelling was assessed as distance measured between: Lateral canthus of the eye to the gonion angle; Tragus to the commissure of the mouth; Tragus to pogonion. Intervention 2: Control group: 50 cases with fully impacted lower third molars of age 18-45 years and both genders were included. Pregnant women, nursing mothers, patient with non-localized odontogenic infection, tooth associated with pathologies i.e. cysts, mandibular angle fractures, tumors, patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease were excluded. Surgical removal of impacted mandibular third molar was done under local anaesthesia using standard ward flap incision Postoperative pain experienced by patient after third molar surgery was assessed at 24 hours after extraction on 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain. If VAS ≥ 7 then it was considered pain. Mouth opening was measured after 24 hours of surgery as interincisal distance in millimeters and patient had trismus if interincisal mouth opening is less than or equal to 29 mm. Swelling was assessed as distance measured between: Lateral canthus of the eye to the gonion angle; Tragus to the commissure of the mouth; Tragus to pogonion. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Tehmina Maryam
Armed forces institute of dentistry CMH Rawalpindi
Rawalpindi Pakistan 46000 +92 333 9576737 Tehminamaryam27@gmail.com Armed forces institute of dentistry CMH Rawalpindi scientific Tehmina Maryam
Range road Rawalpindi
Rawalpindi Pakistan 46000 +92 333 9576737 Tehminamaryam27@gmail.com Armed forces institute of dentistry CMH Rawalpindi Pakistan Patients with fully impacted lower third molars (more than two-thirds of the crown covered with alveolar bone evaluated on periapical radiograph or OPG) Patients having physical status 1 according to American Society of Anesthesiologists (ASA) classification. 18 years 45 years Both Pregnant women, nursing mothers Patient with non-localized odontogenic infection Tooth associated with pathologies i.e. cysts, mandibular angle fractures, tumors Patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease. K01 K01.1 Embedded and impacted teeth Impacted teeth Treatment - Surgery Treatment - Surgery Intervention group: A total of 50 cases with fully impacted lower third molars of age 18-45 years and both genders were included. Pregnant women, nursing mothers, patient with non-localized odontogenic infection, tooth associated with pathologies i.e. cysts, mandibular angle fractures, tumors, patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease were excluded. Surgical removal of impacted mandibular third molar was done under local anaesthesia using comma shaped incisions. Postoperative pain experienced by patient after third molar surgery was assessed at 24 hours after extraction on 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain. If VAS ≥ 7 then it was considered pain. Mouth opening was measured after 24 hours of surgery as interincisal distance in millimeters and patient had trismus if interincisal mouth opening is less than or equal to 29 mm. Swelling was assessed as distance measured between: Lateral canthus of the eye to the gonion angle; Tragus to the commissure of the mouth; Tragus to pogonion. Control group: 50 cases with fully impacted lower third molars of age 18-45 years and both genders were included. Pregnant women, nursing mothers, patient with non-localized odontogenic infection, tooth associated with pathologies i.e. cysts, mandibular angle fractures, tumors, patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease were excluded. Surgical removal of impacted mandibular third molar was done under local anaesthesia using standard ward flap incision Postoperative pain experienced by patient after third molar surgery was assessed at 24 hours after extraction on 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain. If VAS ≥ 7 then it was considered pain. Mouth opening was measured after 24 hours of surgery as interincisal distance in millimeters and patient had trismus if interincisal mouth opening is less than or equal to 29 mm. Swelling was assessed as distance measured between: Lateral canthus of the eye to the gonion angle; Tragus to the commissure of the mouth; Tragus to pogonion. Pain. Timepoint: 0 and 1st post operative day. Method of measurement: 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain . If VAS ≥ 7 then it was considered pain. Post Operative swelling. Timepoint: 1st and 3rd post operative day. Method of measurement: Swelling assessed as distance measured between: Lateral canthus of the eye to the gonion angle; Tragus to the commissure of the mouth; Tragus to pogonion. These readings were taken pre-operatively and compared with the readings taken on 1st and 3rd day post-operatively. Trismus/ mouth opening. Timepoint: 0 and 1st post operative day. Method of measurement: Mouth opening measured after 24 hours of surgery as interincisal distance in millimeters and patient had trismus if interincisal mouth opening is less than or equal to 29 mm. Armed forces institute of dentistry CMH Rawalpindi Armed forces institute of dentistry CMH Rawalpindi Armed forces institute of dentistry CMH Rawalpindi Approved 2018-10-03 Ethics committee of armed forces institute of dentistry CMH Rawalpindi Range road Rawalpindi Rawalpindi Punjab Pakistan