Accuracy of Variables for Impacted Mandibular Third Molar Surgery

NCT05143359 | Unknown DMC

• 1 other identifier: GOBINDRAM
• Study Type: interventional
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

Accuracy of the variables used in Wharfe assessment and Pederson difficulty index for impacted mandibular third molar surgery. The lower 3rd molar tooth is one of the most frequently impacted teeth. Its prevalence ranges from 30.3% to 68.6% worldwide according to a study conducted by Sekhar, 2020. The impaction of a tooth can be defined as a pathological condition in which eruption of tooth is not normal i.e. it is not erupted as expected within a specific time period. The impaction renders the affected tooth as non-functional due to its postural instability/ abnormal position. The normal tooth eruption is dependent on several local as well as systemic factors. Normal eruption can be altered by neighboring tooth, excessive soft tissue in the surrounding, or the dense overlying bone. Race and Ethnicity an also affect/ alter the impaction rate. The removal of 3rd mandibular molar/ wisdom tooth is one of the most commonly performed surgical procedures, being done in dental clinics on daily basis. To predict the difficulty level of this procedure for impacted lower 3rd molar, no scoring system/ scale is considered sufficient i.e. every scale takes some factors into account, while missing some factors, so clinically not very much reliable. Some of the proposed scales/ models which are clinically in use are as follows: WHARFE's, Pederson's, Winter's, and Pell and Gregory's model.

Conditions

Impacted Third Molar Tooth

Outcome Measures

Primary Outcomes (2)

• Extraction of mandibular 3rd molar

  Difficulty of extraction will be assessed by difficulty index

  Extraction of mandibular 3rd molar assessment by Wharfe and Peterson's index immediately after the intervention/procedure/surgery

• Extraction of mandibular 3rd molar

  Difficulty of extraction will be assessed by difficulty index

  Extraction of mandibular 3rd molar assessment by winters immediately after the intervention/procedure/surgery

Study Arms (2)

Wharfe and Pederson difficulty index

EXPERIMENTAL

Assessment of Difficulty in third molar extraction using Wharfe and Pederson difficulty index

Diagnostic Test: Wharfe and Pederson difficulty index

Winters difficulty index

ACTIVE COMPARATOR

Assessment of Difficulty in third molar extraction using Winters difficulty index

Diagnostic Test: Winters difficulty index

Interventions

Wharfe and Pederson difficulty index DIAGNOSTIC_TEST

Efficiency of Wharfe and Pederson Difficulty index in extraction of third molars.

Wharfe and Pederson difficulty index

Winters difficulty index DIAGNOSTIC_TEST

Efficiency of Winters Difficulty index in extraction of third molars.

Winters difficulty index

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age from 18 to 60 years with either gender
• Patients having impacted 3rd mandibular molar according to Winter's classification (as per operational definition)
• Patients with no evidence of dental caries or restoration in the past

You may not qualify if:

• Patients with history of orthodontic treatment or periodontal surgery
• Patients having craniofacial anomalies, congenital deformities or syndromes
• Patients with evidence of cyst or tumor in the molar area
• Not willing to participate in my study

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Officials

• Gobind Ram

  Dow University of Health Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Gobind Ram

CONTACT

+923331226622; rgobind2@gmail.com

Gobind Ram

CONTACT

+923331226644; rgobind2@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Accuracy of variables for Wharfe assessment and Pederson difficulty index for impacted mandiblar third molar surgery---A prospective clinical study

Study Record Dates

• First Submitted: October 16, 2021
• First Posted: December 3, 2021
• Study Start: November 30, 2021
• Primary Completion: May 1, 2022
• Study Completion: July 1, 2022
• Last Updated: December 3, 2021

Record last verified: 2021-11