Comparing collagen to collagen and hyaluronic acid in healing after impacted lower third molars surgical extraction

ISRCTN ISRCTN16820104
DOI https://doi.org/10.1186/ISRCTN16820104
Secondary identifying numbers MS711
Submission date
11/06/2021
Registration date
06/07/2021
Last edited
06/07/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
This study aims to compare using collagen and hyaluronic acid on healing after impacted lower third molars surgical extraction.

Who can participate?
Healthy adults aged 18 - 35 years who underwent bilateral impacted lower third molars surgical extraction

What does the study involve?
Two impacted lower third molars will be extracted surgically for each patient. One will be filled with collagen, the other with collagen and hyaluronic acid. The visual analogue scales (VAS) scores, facial swelling, mouth opening, soft tissue healing and radial density of the bone will be assessed.

What are the possible benefits and risks of participating?
It is crucial for maxillofacial surgeons to decrease the post-extraction complications and improve the third molar extraction socket healing by using a simple method. Both materials are safe and should not cause any additional risks. All participants will receive the same treatment.

When is the study starting and how long is it expected to run for?
February 2022 to March 2022

Where is the study run from?
Damascus University (Syria)

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Dr Moemeneh Bassam Kokash, moemena93@gmail.com

Contact information

Dr Moemeneh Kokash
Scientific

Mazzeh
Damascus
0096311
Syria

ORCiD logoORCID ID 0000-0002-2145-4218
Phone +963 945225923
Email moemeneh3.kokash@damascusuniversity.edu.sy

Study information

Study designSplit-mouth interventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet ISRCTN16820104_PIS.pdf
Scientific titleEffect of collagen and hyaluronic acid on healing after impacted lower third molars surgical extraction. (A clinical and radiographic study)
Study hypothesisWe are trying to test the efficacy of collagen and hyaluronic acid on healing after impacted lower third molars surgical extraction.
Ethics approval(s)Approved 24/02/2020, Damascus University Rector (Baramkeh, Damascus, Syria; +966 55 506 3806; no email provided), ref: MS711
ConditionSurgical extraction of symmetrical Impacted lower third molars
InterventionThis study is a split mouth randomized clinical trial. The patient chose a piece of coin to decide which side was to be applied collagen and which was to be applied collagen and hyaluronic acid in socket after impacted lower third molars surgical extraction.
Triangle full thickness flap was reflected and necessary bone removal was performed by slow-speed straight surgical headpiece with continuous irrigation of saline solution. After the impacted molar was removed and the socket was well rinsed with saline.
A randomized clinical trial was conducted, with one extraction socket being filled with collagen and the other extraction socket being filed with collagen and hyaluronic acid in the same patient.
Patients returned after 1 week to have the sutures removed. They were followed up at 3 days, 7 days, 1 month, 3 months, and 6 months.
Intervention typeProcedure/Surgery
Primary outcome measureAt 3 days, 7 days, 1 month, 3 months, and 6 months:
1. Pain intensity measured using visual analogue scales (VAS)
2. Facial swelling (clinical evaluation)
3. Mouth opening (clinical evaluation)
4. Soft tissue healing (clinical evaluation)
Secondary outcome measuresRadial density measured using periapical digital radiographs at 1 month, 3 months and 6 months
Overall study start date04/02/2020
Overall study end date01/03/2022

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit35 Years
SexBoth
Target number of participants20
Participant inclusion criteria1. The patient's age (18-35) years.
2. Surgical extraction of symmetrically impacted lower third molars is indicated.
3. Good general health and there are no uncontrolled systemic diseases.
4. The integrity of the periodontal tissues and the absence of periodontal diseases.
5. Good oral health.
6. There is no allergy or contraindication to the required postoperative prescription or to the applied medicinal substances.
Participant exclusion criteria1. Pregnant
2. Diabetes mellitus
3. Hypertension
4. Compromised immune system or other systemic diseases
5. Patients with pericoronitis, infection, pathological condition in the region of surgery
Recruitment start date01/10/2020
Recruitment end date01/09/2021

Locations

Countries of recruitment

  • Syria

Study participating centre

Damascus University
Clinics of Oral and Maxillofacial Department
Mazzah High Way
Damascus
0096311
Syria

Sponsor information

Damascus University
University/education

Damascus University Rector
Baramkeh
Damascus
0096311
Syria

Phone +963 1133923192
Email info@damascusuniversity.edu.sy
Website http://damasuniv.edu.sy/
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

University/education

Damascus University

No information available

Results and Publications

Intention to publish date01/03/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planAfter finishing the follow up procedure and writing the article, I am planning to publish it (with all results, statistical analysis and some photos) in Damascus University's journal, and many other international journals.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 06/07/2021 No Yes
Protocol file 06/07/2021 No No

Additional files

ISRCTN16820104_PIS.pdf
uploaded 06/07/2021
ISRCTN16820104_PROTOCOL.pdf
uploaded 06/07/2021

Editorial Notes

06/07/2021: The following changes were made to the trial record:
1. Uploaded protocol (not peer-reviewed) as an additional file. Version n/a, no date.
2. The participant information sheet was uploaded as an additional file.
06/07/2021: Trial's existence confirmed by Damascus University