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CTRI Number  CTRI/2015/05/005748 [Registered on: 05/05/2015] Trial Registered Retrospectively
Last Modified On: 30/04/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of three suturing techniques on distal surface of 2nd molar after the surgical removal of impacted mandibular third molar for the prevention of periodontal problem to 2nd molar  
Scientific Title of Study   Comparative evaluation of three suturing techniques on periodontal health of distal surface of 2nd molar after mandibular 3rd molar surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amit Bali 
Designation  reader 
Affiliation  M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala 
Address  room no- 2, department of oral and maxillofacial surgery. m.m. college of dental sciences and research, mullana, ambala

Ambala
HARYANA
133203
India 
Phone  9466302336  
Fax    
Email  amitbaliomfs@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Amit Bali 
Designation  reader 
Affiliation  M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala 
Address  room no-2, department of oral and maxillofacial surgery. M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala

Ambala
HARYANA
133207
India 
Phone  09812020331  
Fax    
Email  amitbaliomfs@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Amit Bali 
Designation  reader 
Affiliation  M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala 
Address  room no-2, department of oral and maxillofacial surgery. M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala

Ambala
HARYANA
133207
India 
Phone  9466302336  
Fax    
Email  amitbaliomfs@gmail.com  
 
Source of Monetary or Material Support  
M.M. College of Dental Sciences and Research, M.M.University,Mullana, Ambal 
 
Primary Sponsor  
Name  MM College of Dental Sciences and Research 
Address  M.M. College of Dental Sciences and Research, M.M.University, Mullana, Ambala, Haryana, India 
Type of Sponsor  Other [private dental college] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amit Bali  M.M.College of Dental Sciences and Research  room no-2, department of oral and maxillofacial surgery. M.M.College of Dental Sciences and Research, M.M. University, Mullana, Ambala
Ambala
HARYANA 
09466302336

amitbaliomfs@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethical committee, maharishi markandeshwar university  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  impacted teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  not applicable  not applicable 
Intervention  sutures  three suturing techniques of interrupted, anchor and close anchor were compared in this study by using 3-0 black silk sutures on the distal surface of mandibular 2nd molar after the surgical removal of impacted mandibular 3rd molar 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Patients between the age of 16 to 30 year.
2. Patients with good general health (ASA Class I & II) and without any contraindication for oral surgery &/ or local anaesthesia.
3. Having bilateral impacted mandibular 3rd molar.
4. Periodontally healthy patients.
 
 
ExclusionCriteria 
Details  1. Patient with systemic condition that according to the investigator would preclude surgery.
2. Patient with acute infectious lesion in areas intended for surgery
3. Participation of the patient in other clinical trials
4. Patient who is not willing to participate
5. Alcohol or drug abuse or any condition associated with poor compliance
6. Pregnant or lactating mother
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
. The following local periodontal parameters of the mandibular 2nd molar were recorded at the distobuccal, middistal, and distolingual surface
1. Probing pocket depth (PPD)
2. Clinical attachment level (CAL)
3. Bleeding Index (BI)
4. Plaque Index(PI)
 
from April 2011 to March 2013 
 
Secondary Outcome  
Outcome  TimePoints 
. The following local periodontal parameters of the mandibular 2nd molar were recorded at the distobuccal, middistal, and distolingual surface
1. Probing pocket depth (PPD)
2. Clinical attachment level (CAL)
3. Bleeding Index (BI)
4. Plaque Index(PI)
 
after 6month 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/11/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Background- Third molars are the most common impacted teeth. Therefore, removal of third molar is the most common minor surgical procedure in the oral cavity. Periodontal pocket distal to mandibular second molar is one of the important complications after mandibular third molar removal.

Methods-This randomized controlled clinical trial was designed to compare the efficacy of three different suturing techniques of Interrupted, anchor, and close anchor suture. Thirty patients having bilateral impacted mandibular third molar participated in this study.  All patients were divided into three groups. In Group 1, surgical wound distal to 2nd mandibular molar was closed by interrupted suture technique on one side & anchor suture technique on the opposite side. In Group 2, surgical wound was closed by interrupted suture technique on one side & close anchor suture technique on the opposite side. In Group 3, surgical wound was closed by anchor suture technique on one side & close anchor suture technique on the opposite side.

Results – comparison of the pre and post operative plaque index in three suturing technique has shown lowest plaque index score in anchor suture area (p<0.05). Bleeding index has shown statistically significant decreased post operative score in anchor suture group. Post operative pocket depth was lowest in interrupted suture area as compare to anchor and closed anchor suture area. Comparison of the pre and post operative clinical attachment level has minimally changed in anchor suture as compare to interrupted and closed anchor suture technique. 

Conclusion- In our study, anchor suture seems to be slightly better as compare to interrupted and closed anchor suture technique.

 
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