The Aim is to investigate the effect of Vicryl and Vicryl plus sutures on wound situation after lower jaw impacted third molars surgery upon which to show with choosing proper suture problems will be decreased after surgery.
Design: double blind clinical control trial, randomized controlled and split mouth will be done; and the double blind for patients and evaluator has been implemented.
Randomization: In each patient, to suture by Vicryl or Vicryl Plus, the Coin tossing has been used to determine which side of the jaw has to be in control (Vicryl) or case (Vicryl Plus) group.
All patients who have indication for impacted tooth extraction of mandible in two sides of the jaw, by declaring their agreement to cooperate with this plan, will be examined.
Methods: This study will be done on 20 person (40 sample) and each side of patients’ mandible will be divided into experimental group (Vicryl plus) and control group (Vicryl); in both experimental and control groups the wisdom tooth anesthetized by surgeon with two (Lidocaine 2%) carpools then the impacted wisdom tooth will be extracted; and after suturing, post-operative instructions will explained to patient orally; and also Gelofen 400 mg PO. every 6 hours will prescribed.
To recorde the index of the effect of sutures on pain level with patient coordination after surgery, in different times as 12,24 and 72 hours, patient will called and the pain rate will recorded in numerical range 0 (painless) to 9 (severe pain). One week after operation will be a visit to remove the sutures by surgeon then the situation of the Operation zone will examined clinically with checking and recording the effect of the suture on the indexes of swelling, redness and dehiscence.
Inclusion: Patients who have been indication for impacted tooth extraction of mandible in two side with same dormancy and express their consciously tendency to cooperation with this plan.
Exclusion: Present of pericoronal acute and chronic inflammation; used tablet except considered tablet; pregnancy, having systematic problems and individuals who have prohibition for this kind of medicine.
Interventions: One side of patient’s mandible will be appointed as experimental group (vicryl plus suture) and the other side will be as control group (vicryl suture).
Main variables are the rate of pain beginning, pain rate every 12,24 and 72 hours after surgery, the number of used tablets and redness, swelling and dehiscence level .