Health Condition 1: K011- Impacted teeth
Conditions
Interventions
Intervention1: Modification of Ward incision design Without Distal Release: A two-limb conservative mucoperiosteal flap designed to omit the distal releasing incision. The first limb begins at the dis
Sponsors
ALL INDIA INSTITUTE OF MEDICAL SCIENCES BIBINAGAR HYDERABAD
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18–65 years, ASA I–II, indicated for surgical extraction of mesioangular impacted mandibular third molars (Pell & Gregory Class I/II, Position A/B), Pedersen difficulty 4–6, consent obtained
Exclusion criteria
Exclusion criteria: Deep bony impactions, acute infection, systemic diseases affecting healing, pregnancy/lactation, allergy to study medications, prior surgery at site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome- Postoperative Trismus: Measured as the maximum interincisal distance (in millimetres) between the maxillary and mandibular central incisors using a calibrated caliper, recorded 48 hours after surgery.Timepoint: Postoperative trismus: Measured as the maximum interincisal mouth opening (in millimetres) using a Vernier caliper. Assessment will be performed preoperatively (baseline), at 48 hours, and on day 7 after surgery. These time points correspond to the peak and resolution phases of postoperative trismus. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Postoperative Pain: Assessed using a 0- 10 cm visual analogue scale (VAS) at 6, 24, 48, and 72 hours, and on day 7 after surgery. 2. Facial Swelling: Quantified at baseline, 48 hours, and day 7 using standardized linear anthropometric measurements (tragus-pogonion-[A], tragus-oral commissure – [B], and gonion-lateral canthus – [C] ) 3. Operative Efficiency: Recorded as operative time (in minutes), along with documentation of any bone removal and tooth sectioning. 4. Postoperative Complications: Incidence of complications, including infection, alveolar osteitis (dry socket), and wound dehiscence, will be recorded and compared between groups. Timepoint: a. Postoperative pain: Evaluated using a 10 cm Visual Analogue Scale (VAS) to record patient-reported pain intensity. Assessments will be carried out at 6 hours, 24 hours, 48 hours, 72 hours, and day 7 postoperatively, to capture the onset, peak, and recovery pattern of postoperative pain. b. Facial swelling: Determined by calculating the percentage change in mean facial dimensions derived from three standardized linear measurements: tragus–pogonion, tragus–oral commissure, and gonion–lateral canthus. Measurements will be taken preoperatively, at 48 hours, and on day 7 after surgery. c. Operative efficiency: Recorded intraoperatively, including the total operative time (from incision to placement of final suture) and documentation of bone removal and tooth sectioning (Yes/No). d. Postoperative complications: Complications such as infection, alveolar osteitis, and wound dehiscence will be assessed clinically at day 7 and again at the 2-week postoperative follow-up to identify both early and delayed adverse events. | — |
Countries
India
Contacts
Public ContactDr Anurag Negi
All India Institute of Medical Sciences (AIIMS) BIBINAGAR, HYDERABAD
Outcome results
None listed