Improvement of Operating Room Efficiency in Bilateral Wisdom Teeth Surgery

NCT06873152 | Completed

• 1 other identifier: 2025/007
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to assess and compare the implementation of this comprehensive program in patients undergoing bilateral third molar extraction on OR and hospital efficiency and patient experience. The investigators hypothesize that this comprehensive program will be superior in terms of OR efficiency compared to "business as usual".

Conditions

Third Molars Extraction

Keywords

operation room efficiency; third molar surgery

Outcome Measures

Primary Outcomes (1)

• Evaluation of total operation room stay time

  Evaluation of the Total Operation room (OR) stay time defined as departure time from the OR minus arrival time in the OR

  on day of surgery, day 0

Secondary Outcomes (9)

• Evaluation of the surgical time

  on day of surgery, day 0

• Evaluation of Anesthesia induction time

  on day of surgery, day 0

• Evaluation of emergence time

  on day of surgery, day 0

• evaluation of turnover time

  on day of surgery, day 0

• Evaluation of non operative time

  on day of surgery, day 0

Study Arms (2)

Control group

SHAM COMPARATOR

The operation room team will consist of a randomly planned team which may also comprise nurse trainees and/or anesthesiology residents. At arrival in the operating theatre, all patients will be placed in the supine position and receive full standard monitoring (non-invasive blood pressure monitoring, electrocardiographic monitoring, and peripheral O2 saturation monitoring). Furthermore, they will receive an intravenous access with 0.9% sodium chloride infusion and will be administered clindamycine 900mg IV.

Procedure: Control preoperative program

Experimental group

EXPERIMENTAL

All patients planned on an experimental stomatology program day will receive an intravenous access with 0.9% sodium chloride infusion at the ambulatory ward and will be administered clindamycine 900mg IV 30 minutes before the start of surgery. During an experimental stomatology program day, the OR team will consist of 2 very well-trained OR nurses who are exclusively dedicated to the maxillofacial surgery department and a highly experienced anesthesiologist who also has frequent exposure to surgical maxillofacial interventions programs. Nurse trainees and/or anesthesiology residents will not be planned in the stomatology OR on experimental days.

Procedure: Advanced preoperative program

Interventions

Control preoperative program PROCEDURE

Patients will undergo a control preoperative program with no enhances preparation when undergoing bilateral third molar extraction

Control group

Advanced preoperative program PROCEDURE

Patients will undergo an comprehensive program including enhanced preoperative preparation and a dedicated operating room team when undergoing bilateral third molar extraction

Experimental group

Eligibility Criteria

• Age: 16 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age: 16-60 years
• ASA I- III
• BMI ≤ 40 kg/m2
• Patient is willing to give informed consent
• Patient is scheduled for wisdom teeth surgery

You may not qualify if:

• The inability to understand to the study design
• Refusal to participate in the trial

Sponsors & Collaborators

• Jessa Hospital: lead

Study Sites (1)

Jessa Hospital

Hasselt, Limburg, 3500, Belgium

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof Dr

Study Record Dates

• First Submitted: March 5, 2025
• First Posted: March 12, 2025
• Study Start: March 10, 2025
• Primary Completion: May 27, 2025
• Study Completion: May 27, 2025
• Last Updated: September 29, 2025

Record last verified: 2025-09

Locations

BE (1)