Molar, Third, Oral Health
Conditions
Keywords
Third Molar, Edema, pain, trismus
Brief summary
In some cases, impacted wisdom teeth should be extracted. Surgical extraction of these impacted third molars may provide special complication as pain, swelling, and trismus. In previous studies, some techniques as sutureless flap closure, modified flap designing, antibiotic usage, and injection of corticosteroids were presented. These methods are reducing post operative complications to moderate level. In this study, pain, swelling, trismus, general patients' satisfaction, and associated quality of life after the surgical removal of third mandibular impacted molars will be compared while injection of dexamethasone (8mg) does not need excessive time, effort, and equipments and it will be injected in numbness area into medial pterygoid muscle and pterygomandibular space to current corticosteroid injecting non-corticosteroid methods. To achieve this aim, 75 non pregnant participants have single impacted mandibular third molar in healthy and without pericoronitis manner, after provision of written informed consent will be entered to the study. During the study, unwilling participants to continue the study and those with abnormality of wound healing process will be excluded. The included participants will be assigned into three 25-people groups. The surgeries were done by 3 same instructed experienced oral and maxillofacial residents. After the surgery pain, swelling, trismus, general patients' satisfaction, and associated quality of life were evaluated using interview of questionnaire in 48 hour, 96 hour, and one week period of time. The comparison was done between these three groups.
Interventions
DRUG21-benzyloxy-9alpha-fluoro-16alpha-methylpregna-1,4-dien-11beta,17alpha-diol-3,20-dione
single dose of dexamethasone (8mg) will injected
Sponsors
Isfahan University of Medical Sciences
Mohammad Javad Shirani
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Non pregnant participants have single impacted mandibular third molar in healthy and without pericoronitis manner * They must have no contra-indication for injection of the corticosteroid and lidocaine with epinephrine * Should not medicated by any possibly bias maker drug * Type of the impaction, must not provide sever difficulty * The participants should be mentally at healthy level and provide written informed consent to incorporate in the study
Exclusion criteria
-Unwilling participants to continue the study and those with abnormality of wound healing process
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Swelling | 48 hours and one week after intervention | Questionnaire and VAS |
| Changes in Trismus | 48 hours and one week after intervention | Questionnaire |
| Changes in General patients' satisfaction | 48 hours and one week after intervention | Visual analogue scale for satisfaction |
| Changes in Quality of life | 96 hours and one week after intervention | Questionnaire |
| Changes in Pain | 48 hours and one week after intervention | Visual analogue scale of pain- Number of required analgesics tablets |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Trismus | one week period after the surgery | Questionnaire about Maximum mouth opening- Patients complaint |
Countries
Iran
Contacts
Primary ContactMohammadjavad Shirani, Dr
Outcome results
None listed