Wound Heal
Conditions
Brief summary
This study compares the effectiveness of two materials used for intraoral wound closure after removal of impacted mandibular third molar tooth. One Group received braided black silk suture and the other group received N-butyl 2-octyl cyanoacrylate tissue adhesives.
Detailed description
Conventional method of wound closure after removal of impacted mandibular molar is by suturing the wound using braided black silk suture and allowing for primary healing. Suturing in the most posterior region of oral cavity is not easy, it requires more time and additional skills as well. Patient has to come for a second visit for removal of suture. Moreover tight sutures may lead to ischemia and necrosis. Tissue adhesives adopts the idea of sutureless wound closure. They are even sloughed off from the surface of mucosa 7 days after the application. This study compares the effectiveness of conventional sutures and tissue adhesives in closure of intraoral surgical wounds after removal of mandibular third molar.
Interventions
PROCEDUREclosure of wound using n- butyl 2-octyl cyanoacrylate tissue adhesive
Application of cyanoacrylate tissue adhesives over the surgical wound
PROCEDUREclosure of wound using braided silk suture
suturing the surgical wound using braided black silk
Sponsors
Melaka Manipal Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
17 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patients requiring surgical removal of mesioangular, position A impacted mandibular third molar * clean incisions approximately 2-3 cms in length which can be approximated * Healthy (ASAI) or patients with mild systemic disease no functional limitations * Patients not allergic to the drugs or anesthetic agents used in the surgical protocol
Exclusion criteria
* Patients taking any medications that influences wound healing * Patients on non steroidal anti inflammatory drugs * smokers * uncooperative patients patients allergic to cyanoacrylate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 1st postoperative day | A 10 mm Numerical rating scale assessing postoperative pain. Possible score ranges from 0 (no pain) to 10 (worst possible pain). |
| postoperative pain | 2nd postoperative day | A 10 mm Numerical rating scale assessing postoperative pain. Possible score ranges from 0 (no pain) to 10 (worst possible pain). |
| wound healing | 7th postoperative day | A 5 point early wound healing scale assessing wound healing after 7 postoperative days. |
Countries
Malaysia
Outcome results
None listed