Comparison of Two Different Suture Knot Techniques on Post-Operative Trismus and Swelling After Impacted Third Molar Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: locking and non locking suture techniques, non locking suture technique.
- Who it may be relevant to
- Registry conditions: Trismus, Swelling. Basic parameters: up to 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
COMPARISON OF TWO DIFFERENT SUTURE KNOT TECHNIQUES ON POST-OPERATIVE TRISMUS AND SWELLING AFTER IMPACTED THIRD MOLAR SURGERY
Overview
To compare the two different suture knot techniques, locked and unlocked, in terms of mean on postoperative trismus and swelling after impacted mandibular third molar surgery.
Detailed description
The rationale behind conducting a comparative analysis of two different suture knot techniques on postoperative trismus and swelling following impacted third molar surgery stems from the imperative need to optimize patient outcomes and improve surgical practices. Impacted third molar surgery, while a routine procedure in oral and maxillofacial surgery, often presents challenges in managing postoperative complications, particularly trismus and swelling, which can significantly impact patients' comfort, recovery, and overall satisfaction.
Interventions
- Procedure locking and non locking suture techniques
The participating patients will be randomly assigned into two groups, i.e. receiving locked (L) or unlocked (UL) sutures, using a lottery method. Equal patients will be assigned in both groups. In group L (Locked suturing), the flap will be repositioned and sutured with the locked technique (straight-reverse-straight) hermetically using 3-0 black silk. In group UL (Unlocked suturing), the flap will be repositioned and sutured with the unlocked technique (three straight knots) loosely using 3-0 b - Procedure non locking suture technique
The participating patients will be randomly assigned into two groups, i.e. receiving locked (L) or unlocked (UL) sutures, using a lottery method. Equal patients will be assigned in both groups. In group L (Locked suturing), the flap will be repositioned and sutured with the locked technique (straight-reverse-straight) hermetically using 3-0 black silk. In group UL (Unlocked suturing), the flap will be repositioned and sutured with the unlocked technique (three straight knots) loosely using 3-0 b
Primary outcome measures
- effect of locking and non locking suture technique on trismus [Time frame: 3 days and 7 days post operatively]
- Effect of locking and unlocking sutures on facial swelling [Time frame: Post operative day three and day seven]
Eligibility criteria
Inclusion criteria
- • Healthy individuals
- Gender: male and female
- Age: 18-45 years
- Mandibular third molar impaction all positions
- Mandibular third molar impaction all classes
Exclusion criteria
- • Patients with ASA status III and above
- Patients requiring multiple extractions in same appointment
- Patients allergic to Lignocaine
- Patients in whom adrenaline is contraindicated
- Medically compromised individual such as those with poorly controlled diabetes, hypertension and pregnancy, etc.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Watim Medical and Dental College — Rawalpindi
Identifiers
NCT: NCT07327762 · WMDCR/ERB/2023/50