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CompletedNCT03492814Updated Apr 10, 2018

Comparing Different Suturing Techniques on the Post-operative Morbidity After Removal of Impacted Mandibular Third Molar

An interventional study of partial wound closure and total wound closure in Swelling and Trismus, sponsored by Melaka Manipal Medical College. Completed at 1 site in Malaysia. Open to participants aged 20 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-04-10.

Sponsored by Melaka Manipal Medical College · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Mar 2016, registered Apr 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

This study compares the effect of two types of suturing techniques in the postoperative swelling and mouth opening after surgical removal of impacted mandibular third molar. total wound closure will be performed in one group of participants while partial closure will be performed in the other group.

Read the detailed description

Third molar surgeries are mostly associated with pain, swelling and limited mouth opening, referred to as post-operative morbidity. Wound closure technique is an operative factor which is associated with reduced post-operative morbidity. In the total wound closure, the mucoperiosteum is hermetically sealed whereas in the partial wound closure, a window or opening is left to allow for secondary healing. This study therefore compares the effect of partial and total wound closure techniques after surgical extraction of impacted mandibular third molar teeth in reducing the swelling and limited mouth opening.

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Conditions studied

  • Swelling
  • Trismus

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Keywords

  • impacted third molar
  • suturing
  • post-operative morbidity
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In context

Trismus

107 studies on the registry are indexed under Trismus; 19 are open to participants now.

This study's enrollment of 30 is below the median of 52 across 99 interventional studies indexed under Trismus.

Browse Trismus studies →

Lead sponsor

Melaka Manipal Medical College is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • all patients undergoing surgical removal of mesioangular impacted mandibular third molar.
  • Healthy patients () or patients with mild systemic disease with no functional limitations (ASA II).
  • patients who are not allergic to the drugs and local anesthetic agent used in the surgical protocol.

Exclusion criteria

Exclusion Criteria:

  • Patients having systemic conditions that might have an effect on the bone growth or periodontal healing.
  • patients who are on antibiotics premedication or any drugs that might affect wound healing.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Partial wound closure

    3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

    Procedure: partial wound closure

  • Active comparator
    Total wound closure

    5 interrupted sutures with 2 sutures closing the vertical releasing incision and 3 sutures distal to second molar leading to a complete hermetic closure of the wound.

    Procedure: total wound closure

Interventions

  • Procedurepartial wound closure

    3 sutures distal to second molar and leaving the vertical releasing incision open without any sutures.

  • Proceduretotal wound closure

    5 interrupted sutures with 2 sutures closing the vertical releasing incision and 3 sutures distal to second molar leading to a complete hermetic closure of the wound.

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What researchers measure

Primary outcomes

  1. change in the Measurement of mouth opening

    mouth opening is measure by measuring the maximum interincisal distance from the incisal edge of maxillary right central incisor to the incisal edge of the lower right central incisor using a vernier calliper in mm.

    Time frame: baseline( preoperative) and 3rd and 7th day postoperatively.

  2. postoperative swelling

    three line measurements were performed in cm using a measuring tape and mean was taken

    Time frame: baseline ( preoperative) and 3rd and 7th day postoperatively.

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Study locations

1 site
  • Melaka Manipal Medical College
    Melaka, 75150, Malaysia
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03492814
Lead sponsor
Melaka Manipal Medical College
Responsible party
Abdul Kalam Azad (Assistant Professor, Dept Of Oral and Maxillofacial Surgery, Melaka Manipal Medical College) — Principal investigator
First posted
Apr 10, 2018
Start date
Mar 10, 2016
Primary completion
Mar 10, 2018
Completion
Mar 10, 2018
Last update
Apr 10, 2018

Study contacts

Abdul Kalam Azad, MDS
principal investigator · Melaka Manipal Medical College

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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