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Evaluation of Dental CT (cone beam computed tomography) use in preventing the development of nerve injury after lower wisdom teeth removal as compared to OPG (orthopantomography)

Evaluation of cone beam computed tomography in prediction of inferior alveolar nerve injury as compared to orthopantomography, secondary to surgical removal of impacted mandibular third molars

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2023/05/052757
Enrollment
68
Registered
2023-05-17
Start date
Unknown
Completion date
Unknown
Last updated
2024-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K011- Impacted teeth

Interventions

Intervention1: Prednisolone: 30 mg tablet by oral route starting 3 hours before surgical removal of third molars and continued once daily for 3 more days and then discontinued Control Intervention1:

Sponsors

Datta Meghe Institute of Higher Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Clinical inclusion criteria: 1. One or both mandibular third molars 2. Age between 18 -50 years 3. Healthy patients or those with controlled medical comorbidities (ASA 1 or 2) 4. Patient willing to undergo surgery for removal of impacted mandibular third molars. Radiographic Inclusion Criteria: Close approximation of roots of lower third molars to the mandibular canal as evidenced by the observance of one or more radiographic signs belonging to Rood & Shehab’s criteria namely darkening of the root, dark and bifid root, deflection of the roots, narrowing of the roots, interruption of the white line of the mandibular canal wall, diversion of the mandibular canal, and narrowing of the canal [11].

Exclusion criteria

Exclusion criteria: 1.Patients either below 18 or above 50 years of age 2.Uncontrolled medically compromised conditions 3.Patients with previous history of any nerve disorders or any disease with nerve involvement 4.Patients not willing to undergo surgery for removal of impacted mandibular third molars Radiographic Exclusion Criteria: Patients with impacted mandibular third molars that are not in close proximity to the inferior alveolar neurovascular bundle

Design outcomes

Primary

MeasureTime frame
Inferior alveolar nerve injury manifested as either numbness or paresthesia or anesthesia or burning along the distribution of the nerveTimepoint: day 1 - day 7 after removal of mandibular third molars—

Secondary

MeasureTime frame
The secondary outcome will include the number of patients with an objective IAN injury & permanent IAN injury more than 6 months duration.Timepoint: 6 months after the surgical removal of impacted mandibular third molars—

Countries

India

Contacts

Public ContactDr Abdul Ahad Ghaffar Khan

Department of Oral and Maxillofacial Surgery, Govt Dental College and Hospital Aurangabad

drabdulahadkhan@gmail.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026