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The Effect of Different Flap Closure Techniques on Postoperative Morbidity in Impacted Third Molar Surgery

RecruitingNAAges 18 Years - 40 YearsAllRecep Tayyip Erdogan University
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In plain words

What the trial is, and whether it could suit you

1\. ABSTRACT This study is a randomized controlled trial comparing the clinical efficacy and safety of four different flap closure techniques in reducing postoperative morbidity (pain, swelling, trismus, wound healing) and improving patient quality of life (GOHAI) following impacted mandibular third molar extraction. The methods include conventional suturing, sutureless technique, surgical drain, and cyanoacrylate tissue adhesive, which are commonly used in oral surgery practice. The study aims to scientifically evaluate the effects of each method on patients and to determine the most appropriate clinical approach.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients aged 18-40 years. * Patients with no systemic diseases (ASA I). * Patients with impacted mandibular third molars indicated for extraction, with bone and/or mucosal retention, in similar positions (Pell \& Gregory Class 2, Position B; Winter classification vertical or mesioangular). Exclusion Criteria: * Patients classified as ASA II, III, or IV. * Known allergy to anesthetic solutions. * Allergy to acrylate. * Pregnant or breastfeeding women. * Individuals with tobacco use ≥10 cigarettes/day. * Alcohol users. * Patients using antiplatelet agents. * Patients using anticoagulants. * Patients with coagulation disorders. * Patients with immunosuppressive diseases or receiving immunosuppressive therapy. Patients with acute pain or local infection at the surgical site.
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What it tests

  • Conventional Suturing
  • Sutureless Technique
  • Surgical Drain
  • Cyanoacrylate Tissue Adhesive
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Where

1 site
Recep Tayyip Erdoğan University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery
Rize, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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