Actively Recruiting
Comparison of Postoperative Pain and Swelling in Flap Versus Flapless Technique for Surgical Removal of Partially Impacted Mandibular Third Molars
Led by Watim Medical & Dental College · Updated on 2025-11-25
160
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to compare postoperative pain and facial swelling after surgical removal of partially impacted mandibular third molars. The study focuses on patients with mesioangular impactions who have experienced a second episode of pericoronitis and swelling. Researchers are evaluating two surgical methods—flap and flapless techniques—to see which results in less postoperative discomfort and swelling by the second day after surgery. Participants will be randomly assigned to receive either the flap technique, which involves mucoperiosteal flap elevation, bone guttering, tooth sectioning, and suturing, or the flapless technique, which uses minimal gingival reflection without flap elevation, bone guttering, tooth sectioning, and no suturing. All procedures will be performed by the same surgeon to maintain consistency. The flap method repositions and sutures the flap, while the flapless approach allows the site to heal naturally. During the study, pain will be measured using a 10-point Visual Analogue Scale, and facial swelling will be assessed with standardized facial measurements on the second postoperative day. A total of 160 participants aged 18 to 45 will take part. The study will monitor these outcomes closely to determine the differences in postoperative morbidity between the two surgical methods.
CONDITIONS
Brief Title
Postoperative Pain and Swelling After Flap vsFlapless Technique For Mandibular Third Molar Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 to 45 years
- Any gender
- Partially impacted mesioangular mandibular third molar confirmed clinically and by X-ray
- Second episode of pericoronitis
- Swelling present on the affected side
- No bone recession or periodontal disease on dental X-ray
You will not qualify if you...
- HIV or hepatitis B infection
- Diabetes or other metabolic disorders
- Bleeding disorders such as von Willebrand disease, thalassemia, hemophilia, thrombocytosis, or thrombocytopenia
- Active periapical infection or acute pericoronitis at time of surgery
- Severe difficulty opening the mouth (trismus)
- Immunocompromised status
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 1 day
Participants undergo surgical extraction of partially impacted mandibular third molars using either the flap or flapless technique performed by a surgeon.
1 surgery visit (in-person)
Duration - 2 days
Participants are monitored for postoperative pain and swelling after surgery.
1 follow-up visit on the 2nd postoperative day (in-person)
Trial Site Locations
Total: 1 location
1
Watim Medical College&Dental Hospital
Islamabad, Islamabad, Pakistan, 44000
Actively Recruiting
Research Team
D
dr huma bajar huma bajar, bds
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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