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IRCT20210920052527N1 IRCT 2021-10-20 Islamic Azad University Delayed Infection in Two Types of Wisdom Tooth Surgery Comparison of Delayed Infection in Envelope and Three-Corner Flaps in Impact Mandibular Third Molar Surgery, a Prospective Study 2021-09-23 anticipated 202 Complete https://irct.ir/trial/58828 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Every 4 indicated patients who are referred to dental departments of Shahid Beheshti University, Tehran Azad University,Behfar clinic and Ghazi Tabatabaee for wisdom tooth removal surgery are planned to include in quadruple blocks. This block is actually a table of 2×2 which its columns title is name of flap and its raws title is the side of surgery. This blocks include side and type of the first surgery which was extracted from the table in line before: Right side and Three-corner flap, right side and envelope flap, left side and three-corner flap, and left side and envelope flap. These data would be given in 4 sealed pockets to the surgeon and surgeon would pick one of them. After that, surgeon will operate patient according to the selected data. Every 4 patient must undergo surgery according to one of these pockets.The other flap on the other side would be operated according to the picked pockets, Blinding description: Patients and analyzer will not know about the inside of the pocket given to the surgeon.(However patients would be aware of the study. Also patients would find out which tooth undergoes operation.) Also the surgeon would not be informed about which sealed pockets would contain what information. The surgeon will pick up one of the sealed pockets randomly. N/A --. Intervention 1: Intervention group: Patients who undergo third mandibular molar impacted extraction surgery with a three-corner flap at first. After surgery, the flap will suture with a 000 silk sew thread. Second surgery will operate immediately after first surgery. In second surgery, the flap will change. this wound will be suture with a 000 silk sew thread. Patients have to use antiseptics and antibiotics according to the protocols. Intervention 2: Intervention group: Patients who undergo third mandibular molar impacted extraction surgery with a envelope flap at first. After surgery, the flap will suture with a 000 silk sew thread. Second surgery will operate immediately after first surgery. In second surgery, the flap will change. this wound will be suture with a 000 silk sew thread. Patients have to use antiseptics and antibiotics according to the protocols. Yes - There is a plan to make this available What will be shared: The data will be published through the research commits When: After finishing the accumulation of the data To whom: Dental students , researchers Conditions: With permission from the research commits Where to obtain: The research commits How to obtain: The request from the research committees. Comments:
public Parisa Moradi
Arghavan Alley, Saadat Abad
Tehran Iran (Islamic Republic of) ۱۹۹۸۶۶۶۸۹۸ +98 21 2208 3106 p.moradi17@yahoo.com Islamic Azad University scientific Reza Tabrizi Miyandoab
Velenjak
Tehran Iran (Islamic Republic of) 1963815971 +98 21 2267 2126 rtabrizi@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) People Having ASA1 Systemic Condition People Candidate for Both Mandibular Impacted Third Molar Surgery Both Impacted Tooth Must be In Same Pell and Gregory Classification Patient Age Must Be Between 18 to 30 Years. 18 years 30 years Both Patients with decayed second mandibular tooth which needs a root canal therapy. Smoker patients. Patients who have got a pathologic lesion around impacted wisdom tooth. Patients with incapability of mouth opening over 35 millimeters. Patients with poor oral hygiene. Patients who have got mandible trauma. Patients who are not capable to come over for a follow-up session. Patients who do not use antibiotics and antiseptics by regular given order. --- -- Treatment - Surgery Treatment - Surgery Intervention group: Patients who undergo third mandibular molar impacted extraction surgery with a three-corner flap at first. After surgery, the flap will suture with a 000 silk sew thread. Second surgery will operate immediately after first surgery. In second surgery, the flap will change. this wound will be suture with a 000 silk sew thread. Patients have to use antiseptics and antibiotics according to the protocols. Intervention group: Patients who undergo third mandibular molar impacted extraction surgery with a envelope flap at first. After surgery, the flap will suture with a 000 silk sew thread. Second surgery will operate immediately after first surgery. In second surgery, the flap will change. this wound will be suture with a 000 silk sew thread. Patients have to use antiseptics and antibiotics according to the protocols. Delayed infection after surgery with pain, redness, swelling, pus discharge and restriction of maximum mouth opening symptoms. Timepoint: 2 weeks after surgery, 4 weeks and 6 weeks. Method of measurement: Clinical evaluation for detection of infection (redness, pain, swelling, pus discharge and restriction of maximum mouth opening). Islamic Azad University Approved 2021-08-04 Ethics committee of Tehran Azad University of Medical Sciences. No. 9, Arghavan Alley, North Behzad Bolevard, Second Abghari Street, Saadat Abad Tehran Tehran Iran (Islamic Republic of)