Condition 1: Mandibular fully impacted third molar surgery. Condition 2: Postoperative facial swelling after mandibular fully impacted third molar surgery. Condition 3: Trismus after mandibular fully impacted third molar surgery. Condition 4: Dehiscence after mandibular fully impacted third molar surgery. Condition 5: Dry socket after mandibular fully impacted third molar surgery. Impacted teeth Localized swelling, mass and lump, unspecified Sprain of jaw Disruption of external operation (su
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Both-sided and symmetrical impaction of mandibular third molar tooth that are classified in the same class by Pell & Gregory Meeting ASA1 systemic conditions Non-smokers patients Collaborative patients with frequent visits for follow up Patients without periodontal disease patients with proper oral hygiene patients aged between 20 and 30
Exclusion criteria
Exclusion criteria: Pathologic lesion in the impacted tooth Difference in follicle size around the crown of each person's sides Surgical time exceeding 25 minutes More than 5 minutes of surgical difference on both sides Taking steroids, drugs, alcohol, contraceptives Pregnancy and lactation History of delayed wound healing Failure to complete follow up sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before starting surgery, it is assessed that there is no pain at the surgical site.pain of the patient 12 hours after surgery and on days 7, 1, 2, 3, 4, 5, 6 after surgery will be measured. Method of measurement: Visual Analogue Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Swelling. Timepoint: Before starting surgery, 24 hours after surgery and the days 3rd and 7th after surgery. Method of measurement: Facial width will be measured by ticking three facial distances on a thread and then measuring it by a ruler. Horizontal: The distance between the corners of the lip to the attachment of the ear lobe on same side and the thread is subject to the cheeks. Vertical: The distance between the outer eye cantos and the mandibular angle of the same side and the thread is subject to the cheeks. Oblique: The distance from the corners of the lip and the mandibular angle of the same side and the thread is subject to the possible facial swelling (post-operative swelling).;Maximal oral opening rate. Timepoint: Before starting surgery, 24 hours after surgery and the days 3rd and 7th after surgery. Method of measurement: It will be calculated by measuring the distance between the central margin of the upper jaw and the central edge of the lower jaw (or left in the absence of the right central) by the digital caliper (Mitutoyo, Illinois, USA).;Dry socket. Timepoint: 24 hours after surgery and the days 3rd and 7th after surgery. Method of measurement: Blums criteria.;Dehiscence. Timepoint: 24 hours after surgery and the days 3rd and 7th after surgery. Method of measurement: The self-opening of sutures without patient’s intervention that define with observations.;Clinical attachment loss in 7th tooth distal. Timepoint: Before starting surgery, six months after surgery. Method of measurement: The distance between CEJ and the pocket bottom will be measured by william probe (Juya Instruments PVT, Tehran, Iran).;The 7th tooth distal pocket depth. Timepoint: Before starting surgery, six months after surgery. Method of measurement: The distance between the gingival margin and pocket bottom will be measured by the william probe (Juya Instruments PVT, Tehran, Iran). | — |
Countries
Iran (Islamic Republic of)
Contacts
Semnan University of Medical Sciences