Postoperative swelling after third molar surgery Third Molar Tooth, Impacted Sutures Postoperative Complications
Conditions
Interventions
Mesially positioned simple interrupted suture: the needle is inserted at mid-buccal flap then followed by mid-lingual flap of the lower second molar, creating a suture knot at the buccal flap that enc
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Mesially positioned simple interrupted sutures (MIS) ,Conventional simple interrupted sutures (SIS)
Sponsors
Faculty of Dentistry, Chiang Mai University
Eligibility
Sex/Gender
All
Age
18 Years to 30 Years
Inclusion criteria
Inclusion criteria: 1. Male or female patients aged 18 to 30 years with bilaterally impacted lower third molars exhibiting similar eruption patterns and angulations, classified as Class I or II and Position A, B, or C according to panoramic radiographic evaluation. 2. Undergoing simultaneous surgical removal of both left and right lower third molars under local anesthesia. 3. Presence of both lower second molars in the oral cavity on the left and right sides. 4. No signs of inflammation or infection associated with the lower third molars and no use of antibiotics or anti-inflammatory medications within at least one month prior to surgery. 5. Absence of severe systemic diseases that would contraindicate or require caution for surgery, and absence of systemic conditions that may impair wound healing.
Exclusion criteria
Exclusion criteria: 1. Presence of pathological conditions such as cysts or tumors involving the lower third or second molars. 2. Presence of distal caries on the lower second molar extending below the cementoenamel junction (CEJ). 3. Pregnancy or current tobacco smoking. 4. Inability to attend scheduled postoperative follow-up appointments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| soft tissue swelling at the distal aspect of the lower second molar Before surgery, immediate after surgery, 2 days, 7 days and 1 month after surgery vertical distance from the gingival margin at the distobuccal line angle to a fixed reference point over the occlusal plane level of the lower second molar | — |
Secondary
| Measure | Time frame |
|---|---|
| facial swelling Before surgery, 2 days and 7 days Facial swelling was measured in horizontal, vertical, and oblique axes using a tape while seated: mouth to ear, eye to mandible angle, and mouth to mandibular angle, respectively.,patient satisfaction 2 days and 7 days after surgery Patient reported outcome using a VAS | — |
Countries
Thailand
Contacts
Public ContactChonatee Chinkrua
Faculty of Dentistry, Chiang Mai University
Outcome results
None listed