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The purpose of this study is to evaluate the efficacy and cost-effectiveness of Cone Beam Computed Tomography (CBCT) compared to panoramic radiography prior to removal of third molars in reducing patient's morbidity. Adults having a close relationship between the mandibular canal and one or both lower third molars, as diagnosed from digital panoramic radiographs will be recruited for this randomised controlled trial. In one trial arm, patients will receive the standard digital panoramic radiograph prior to third molar surgery. In the second arm, subjects will undergo an additional Cone Beam Computed Tomography (CBCT) prior to third molar surgery.
All patients require a postoperative visit one week after surgery to assess the outcome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBCT | Other | Cone Beam CT |
|
| Panoramic radiograph | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Third molar removal | Procedure | Surgically removing the third molar in the lower jaw |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with inferior alveolar nerve (IAN) injury | 1 week after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Oral Health related quality of life score | 1 week after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Costs of imaging, treatment and day's of work. | 2 weeks after surgery |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboud University Medical Centre. Department of Oral & Maxillofacial Surgery | Nijmegen | 6500HB | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26596360 | Derived | Ghaeminia H, Gerlach NL, Hoppenreijs TJ, Kicken M, Dings JP, Borstlap WA, de Haan T, Berge SJ, Meijer GJ, Maal TJ. Clinical relevance of cone beam computed tomography in mandibular third molar removal: A multicentre, randomised, controlled trial. J Craniomaxillofac Surg. 2015 Dec;43(10):2158-67. doi: 10.1016/j.jcms.2015.10.009. Epub 2015 Oct 23. |
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