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The Effect of Different Flap Closure Techniques on Postoperative Morbidity in Impacted Third Molar Surgery
Sponsor: Recep Tayyip Erdogan University
Summary
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.
Official title: The Effect of Different Flap Closure Techniques on Postoperative Morbidity: A Randomized Controlled Trial for Impacted Third Molar Surgery
Key Details
Gender
All
Age Range
18 Years - 40 Years
Study Type
INTERVENTIONAL
Enrollment
148
Start Date
2026-02-01
Completion Date
2026-06-30
Last Updated
2026-01-12
Healthy Volunteers
No
Interventions
Conventional Suturing
Wound edges are approximated using 3/0 braided, non-absorbable silk sutures (Doğsan®, Turkey). Standard oral surgery closure technique.
Sutureless Technique
The wound is left to heal by secondary intention without using any suturing material.
Surgical Drain
A biocompatible sterile plastic drain is placed in the surgical site to facilitate drainage of blood and fluids, helping to reduce edema and hematoma formation.
Cyanoacrylate Tissue Adhesive
Cyanoacrylate-based medical tissue adhesive (PeriAcryl®90 High Viscosity) is applied to the wound edges, providing rapid polymerization and effective closure.
Locations (1)
Recep Tayyip Erdoğan University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery
Rize, Rize Province, Turkey (Türkiye)