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IRCT20230313057705N1 IRCT 2023-04-08 Ahvaz University of Medical Sciences Comparing the efficiency of panoramic and CBCT in mandibular impacted wisdom tooth surgery Comparing the panoramic and CBCT imaging efficacy in reducing nerve injury and providing appropriate diagnostic information and surgical planning for removal of the impacted lower third molars with intimate nerve proximity: a radiographic and clinical study 2023-04-04 anticipated 258 Complete https://irct.ir/trial/69135 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Each person's information (including the image file) is placed in a "sealed envelope". Patients are "sequentially" and based on "simple randomization" directed to two groups, PAN and CBCT. Sampling will continue until the list of the number of people in both groups is complete. N/A Impacted lower third molar surgery. Intervention 1: Intervention group: The CBCT group; in which the type of intervention is in the form of having CBCT imaging and diagnostic information and details obtained from it, which the surgeon uses to perform the surgery. Intervention 2: Control group: It is the PAN group. ]n which there are basic diagnostic information and details obtained from panoramic imaging and the surgical process will be done based on it. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Kazem Khiabani
School of Dental Medicine, Dey Ave., Farvardin Blvd., Golestan
Ahvaz Iran (Islamic Republic of) 61357-15794 +98 61 3320 5169 khiabani-k@ajums.ac.ir Ahvaz University of Medical Sciences scientific Kazem Khiabani
School of Dental Medicine, Dey Ave., Farvardin Blvd., Golestan
Ahvaz Iran (Islamic Republic of) 61357-15794 +98 61 3320 5169 khiabani-k@ajums.ac.ir Ahvaz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) The presence of at least one impacted mandibular third molar that needs to be extracted Having radiographic signs of superimposition of the root on the canal (at least half the height of the canal) or the presence of at least one of the classic signs of involvement of the third molar with the IAC in PAN or the contact of the nerve and the underlying tooth (crown or root) in a long path with the nerve and root (like a tooth lying on a nerve). no limit no limit Both The presence of any systemic disease Use of medications that can interfere with the immune response or wound healing after surgery Existence of a pathological condition in the third molar area Absence of adjacent second molar Local inflammation or perichronitis associated with the third molar during extraction Presence of neurosensory changes before the operation Reluctance to obtain CBCT Diagnosis Diagnosis Intervention group: The CBCT group; in which the type of intervention is in the form of having CBCT imaging and diagnostic information and details obtained from it, which the surgeon uses to perform the surgery. Control group: It is the PAN group. ]n which there are basic diagnostic information and details obtained from panoramic imaging and the surgical process will be done based on it. Inferior alveolar nerve damage. Timepoint: 7th day and 1st, 3rd and 6th months after surgery. Method of measurement: 1. 2-point discrimination (TPD) It measures the minimum distance that the patient can distinguish between two separate points.This test is done using a caliper and the result will be recorded numerically in millimeters. 2. Pin test: it will be done by touching the skin with a sharp needle to test the perception of pain (the needle is applied to the skin using its own weight).3. Light touch test: A cotton brush is used to test the tactile stimulation by gently touching the skin and the patient's detection threshold is evaluated. Diagnostic efficiency during surgery. Timepoint: At the beginning of the study. Method of measurement: Based on points earned. Surgical treatment plan efficiency. Timepoint: During surgery. Method of measurement: Based on points earned. Mental comfort of the surgeon during surgery. Timepoint: During surgery. Method of measurement: Visual Analogue Scale. Faculty members grant Approved 2022-03-13 Ethics committee of Ahvaz University of Medical Sciences Esfand Ave - Farvardin Blvd - Golestan Ahvaz Khouzestan Iran (Islamic Republic of)