An interventional study of Surgical exatrction of impacted lower third molars in Impacted Lower Third Molars Roots, sponsored by Riyadh Colleges of Dentistry and Pharmacy. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-21.
Sponsored by Riyadh Colleges of Dentistry and Pharmacy · Not applicable, Interventional, and Other
A clinical study will be conducted to verify the reliability of the root form classification of impacted lower third molars that was put by Abu-Mostafa N (2023) The root forms of partially or fully impacted lower third molars will be classified pre-operatively based on panoramic radiograph, then clinically after extraction, and the identified root classifications will be compared.
According to Abu-Mostafa N, the roots of impacted lower third molars are classified into two types: Fused roots and separated roots. Both have different forms:
Fused roots forms: Straight, Curved distal, Curved mesial, and S-shaped.
Separated roots forms: Straight, Both roots are curved distal, Both roots are curved mesial, Joined roots, One root is straight and one is curved, and More than two roots.
A panoramic radiograph will be taken before extraction, then the roots will be classified by two Oral biologist and Oral and Maxillofacial Surgeon individually. After surgical extraction of the third molar, the roots will be examined clinically and classified according to the same classification.
The two pre-extraction radiographic classifications will be compared together, and then they will be compared with the clinical classification to check if there is a discrepancy.
The surgical extraction procedure:
Local anesthesia will be achieved by inferior alveolar nerve block and buccal infiltration using Lidocaine 2% with Epinephrine 1:100,000. A flap with a distobuccal releasing incision will be done. The bone reduction will be performed by a low-speed surgical handpiece under irrigation with normal saline. Root separation is done of required for the third molars with separated root forms. The tooth will be luxated by straight elevators and then extracted.
The evaluation results will be categorized to:
The results will be analyzed regarding frequencies and association of each category with root forms
Riyadh Colleges of Dentistry and Pharmacy is the lead sponsor of 28 studies on the registry; 1 is open to participants now.
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Patients with impacted lower third molars who visit Riyadh Elm University" hospital and have lower third molars which are diagnosed clinically and radiographically as partially or fully impacted. The roots of these third molars have to be fully formed.
Exclusion Criteria:
incomplete apex formation and root resorption
Clinical intervention: Surgical exatrction of impacted lower third molar to examine and classify the roots, then to compare it with radiographic classification
Procedure: Surgical exatrction of impacted lower third molars
Surgical exatrction of impacted lower third molars to verify the form of the root
Frequency of discrepancies and agreements on the classified root forms
To report the radiographic classifications of root forms by two examiners
Time frame: Before surgical exatration
Frequency of discrepancies and agreements on the classified root forms
To report the clinical classifications of root forms
Time frame: Immidiately after extraction
The frequency of root types
The frequency of fused roots and separated roots
Time frame: Immediately after extraction
The frquency of fused root forms
The frequency of the four fused roots forms
Time frame: Immediately after extraction
The frequency of separated root forms
The frequency of the six separated root forms
Time frame: Immediately after extraction
No study locations are listed for this record.
Plan to share: No — After publication
No publications or documents are linked to this record.
This study is not yet recruiting, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.
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Riyadh Colleges of Dentistry and Pharmacy