Does the shape of a gum flap change blood flow after wisdom tooth surgery?
NCT ID NCT07758192
First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time
Summary
This trial investigates whether the shape of the gum flap lifted during wisdom tooth removal affects blood flow to the nearby tooth and gum tissue. Participants are healthy adults aged 18 to 40 with one impacted lower wisdom tooth. They are assigned to one of two flap designs: a simple sulcular flap or a three-cornered flap with an extra cut. Using a laser probe, blood flow is measured before surgery and again on days 3 and 7 after, along with swelling and mouth opening, to see if one approach better preserves circulation for healing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two surgical flap outlines: sulcular flap and three-cornered flap for wisdom tooth removal
- What this could lead to
- If one flap shape preserves blood flow better, it could guide surgeons to choose an approach that may improve healing and reduce complications after wisdom tooth surgery.
- What could go wrong
- This is a small, early-stage study in healthy adults, so results may not apply to everyone. Also, measuring blood flow with a laser probe is indirect, and differences may not translate into noticeable clinical benefits.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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56 people
The number who actually took part.
- Started
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Nov 2020
- Finished
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Nov 2021
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 40 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Free of systemic illness and taking no regular medication * Aged 18 to 40 years * One fully bone-impacted mandibular wisdom tooth for which surgical removal is indicated * Ramus relationship of class II or III and depth position A, B or C on the Pell and Gregory scheme * Angulation falling into one of four categories on Winter's scheme: vertical, mesioangular, horizontal or distoangular * Neighbouring second molar intact, i.e. without extensive caries, endodontic treatment, a large filling or a crown * Willing and able to give written consent and to attend both follow-up visits Exclusion Criteria: * Any systemic disorder, or use of medication on a continuing basis * Tobacco use * Previous irradiation or chemotherapy involving the head and neck * Infection within the mouth at the time of surgery, including acute pericoronitis * Pregnancy or suspected pregnancy * Menstruation at the time of a scheduled measurement * Need for more than two anaesthetic cartridges to achieve profound anaesthesia
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Gaziantep University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery
Gaziantep, Gaziantep, 27310, Turkey (Türkiye)
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