Comparing Four Flap Closure Methods to Reduce Pain and Improve Healing After Impacted Wisdom Tooth Surgery

What this Trial Is About

Researchers are evaluating four different flap closure techniques to compare their effects on reducing postoperative problems such as pain, swelling, trismus, and wound healing after impacted mandibular third molar wisdom tooth extraction. The study also aims to assess how these methods impact patient quality of life using the GOHAI questionnaire. This randomized controlled trial focuses on commonly used oral surgery methods to determine the best clinical approach for patient recovery. The techniques being studied include conventional suturing using braided silk sutures, a sutureless method where the wound heals naturally, surgical drain placement to help remove fluids and reduce swelling, and cyanoacrylate tissue adhesive that rapidly closes the wound edges. Each participant will receive one of these four flap closure techniques following their tooth extraction, applied according to a standardized protocol by experienced surgeons. Participants will be monitored with follow-up visits on days 1, 3, 7, and 14 after surgery to measure pain, swelling, trismus, wound healing, and quality of life. The study includes safety monitoring for possible complications such as infection or bleeding, with emergency procedures in place if serious adverse events occur. Participation lasts through the postoperative assessment period, allowing researchers to compare how each technique affects recovery and patient wellbeing.

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