Impacted lower third molar surgery.
Conditions
Interventions
Intervention 1: Intervention group: The CBCT group
in which the type of intervention is in the form of having CBCT imaging and diagnostic information and details obtained from it, which the surgeon uses to perform the surgery. Intervention 2: Control
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The presence of at least one impacted mandibular third molar that needs to be extracted Having radiographic signs of superimposition of the root on the canal (at least half the height of the canal) or the presence of at least one of the classic signs of involvement of the third molar with the IAC in PAN or the contact of the nerve and the underlying tooth (crown or root) in a long path with the nerve and root (like a tooth lying on a nerve).
Exclusion criteria
Exclusion criteria: The presence of any systemic disease Use of medications that can interfere with the immune response or wound healing after surgery Existence of a pathological condition in the third molar area Absence of adjacent second molar Local inflammation or perichronitis associated with the third molar during extraction Presence of neurosensory changes before the operation Reluctance to obtain CBCT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inferior alveolar nerve damage. Timepoint: 7th day and 1st, 3rd and 6th months after surgery. Method of measurement: 1. 2-point discrimination (TPD) It measures the minimum distance that the patient can distinguish between two separate points.This test is done using a caliper and the result will be recorded numerically in millimeters. 2. Pin test: it will be done by touching the skin with a sharp needle to test the perception of pain (the needle is applied to the skin using its own weight).3. Light touch test: A cotton brush is used to test the tactile stimulation by gently touching the skin and the patient's detection threshold is evaluated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Diagnostic efficiency during surgery. Timepoint: At the beginning of the study. Method of measurement: Based on points earned.;Surgical treatment plan efficiency. Timepoint: During surgery. Method of measurement: Based on points earned.;Mental comfort of the surgeon during surgery. Timepoint: During surgery. Method of measurement: Visual Analogue Scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactKazem Khiabani
Ahvaz University of Medical Sciences
Outcome results
None listed