Post-op complications comparison of two comma and envelope flap design in impacted third mandibualr surgery. Impacted teeth
Conditions
Interventions
Intervention 1: Control group:The impacted tooth will assigned into two lingually based comma flap(group A) and envelope flap(group B), by flipping a coin. For choosing which quadrant to start with, a
Sponsors
Islamic Azad University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who have bilateral and symmetrical impacted mandibular third molar Patients who have class 1,2,A,B impacted mandibular third molar, based on Pell and Gregory classification Patients who have not any systemic or underlying disease Patients whom impacted mandibular third molar has no symptom such as pain, edema and trismus Patients whom root of impacted mandibular third molar has developed more than one-third Patients who have no acute periodontal disease
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain: post-operative pain will be measured by Visual Analog Scale. In this scale, the patients will be asked to show the intensity of the pain which is experienced by choosing a number(between 0-10) on a horizontal line. Pain in this descriptive scale is categorized to 6 levels: 0= no pain, 1-3= mild pain, 4-5= moderate pain, 6-7= painful, 7-8= sever pain and 10= unbearable pain. The paitients will be asked to report the pain score on its worst severity time on a day. Timepoint: Will be measured on the first, third and seventh post-operative day. Method of measurement: Visual Analog Scale.;Edema: the severity of post-operative edema will be measured by the pre-operative difference between the two fixed mandibular angle and lip commissure points on the patients' face and the post-operative one. Timepoint: Will be measured on the first, third and seventh post-operative day. Method of measurement: The pre-operative difference between the two fixed mandibular angle and lip commissure points on the patients' face and the post-operative one (in milimeter).;Trismus: will be measured post-operatively. for this purpose the inter-incisal distance will be measured. if the distance is less than 25 milimiter, the presence of trismus will be considered. Timepoint: Will be measured on the first, third and seventh post-operative day. Method of measurement: the maximum inter-incisal distance (in milimeter).;Wound dehiscence: to a dehiscence more than 1.5 centimeter square, number 3, less than 1 centimeter square, number 2 and less than 0.5 centimeter square, number 1 will be assigned. in case of no dehiscence number 0 will be considered. Timepoint: Will be measured on the first, third and seventh post-operative day. Method of measurement: the amount of post-operative wound dehiscence (in centimeter square).;Alveolar osteitis: will be considered post-operative pain in or around the socket of the extracted impacted tooth or partial/total loss of the blood clot in the socket (yes or no | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarid Ghasemi
Islamic Azad University
Outcome results
None listed