Comparing Different Suturing Techniques on the Post-operative Morbidity After Removal of Impacted Mandibular Third Molar

Comparing the Effect of Different Suture Techniques on the Post Operative Morbidity After Surgical Removal of Impacted Mandibular Third Molar- A Randomized Clinical Study

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03492814

Enrollment

Registered

2018-04-10

Start date

2016-03-10

Completion date

2018-03-10

Last updated

2018-04-10

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

Conditions

Swelling, Trismus

Keywords

impacted third molar, suturing, post-operative morbidity

Brief summary

This study compares the effect of two types of suturing techniques in the postoperative swelling and mouth opening after surgical removal of impacted mandibular third molar. total wound closure will be performed in one group of participants while partial closure will be performed in the other group.

Detailed description

Third molar surgeries are mostly associated with pain, swelling and limited mouth opening, referred to as post-operative morbidity. Wound closure technique is an operative factor which is associated with reduced post-operative morbidity. In the total wound closure, the mucoperiosteum is hermetically sealed whereas in the partial wound closure, a window or opening is left to allow for secondary healing. This study therefore compares the effect of partial and total wound closure techniques after surgical extraction of impacted mandibular third molar teeth in reducing the swelling and limited mouth opening.

Interventions

PROCEDUREpartial wound closure

3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

PROCEDUREtotal wound closure

5 interrupted sutures with 2 sutures closing the vertical releasing incision and 3 sutures distal to second molar leading to a complete hermetic closure of the wound.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

ALL

Age

20 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* all patients undergoing surgical removal of mesioangular impacted mandibular third molar. * Healthy patients (ASA I) or patients with mild systemic disease with no functional limitations (ASA II). * patients who are not allergic to the drugs and local anesthetic agent used in the surgical protocol.

Exclusion criteria

* Patients having systemic conditions that might have an effect on the bone growth or periodontal healing. * patients who are on antibiotics premedication or any drugs that might affect wound healing.

Design outcomes

Primary

Measure	Time frame	Description
change in the Measurement of mouth opening	baseline( preoperative) and 3rd and 7th day postoperatively.	mouth opening is measure by measuring the maximum interincisal distance from the incisal edge of maxillary right central incisor to the incisal edge of the lower right central incisor using a vernier calliper in mm.
postoperative swelling	baseline ( preoperative) and 3rd and 7th day postoperatively.	three line measurements were performed in cm using a measuring tape and mean was taken

Countries

Malaysia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026