Third Molar Surgery
Conditions
Keywords
Dexamethasone, Applied Kinesiology, Non-Steroidal Anti-Inflammatory Agents, Teeth, Impacted, Edema, Trismus, Postoperative Pain
Brief summary
In this study; Among the patients randomized because of severe postoperative sequelae expected as a result of radiological and clinical examinations; nonsteroid antiinflammatory drug prescribed group compared with preoperative single dose intraoral submucosal corticosteroid administration and therapeutic elastic bandage application considering inflammatory symptoms' severity and health related quality of life following surgical removal of impacted third molars. The study hypothesis was formed stating that corticosteroid injection and elastic bandage application would reduce the inflammatory symptoms more than NSAID.
Interventions
Patients were instructed to record the number of drugs they used until the second and seventh postoperative days.
DRUGDexamethasone 21-Phosphate
Injections were administered in the immediate preoperative period as a single shot.
DEVICETherapeutic Elastic Bandage
The bands' lengths were individually measured and divided into five equal parts up to 2/3 of their lengths to obtain fan-type shape.
Sponsors
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Among the patients randomized because of severe postoperative sequelae expected as a result of radiological examination prior to surgical extraction of lower third molar teeth; postoperatively nonsteroid antiinflammatory drug prescribed group compared with preoperative single dose intraoral submucosal corticosteroid administration and postoperative therapeutic elastic bandage application.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 18-65 years * American Society of Anesthesiologists (ASA) Class 1 physiological status * Consistent radiological and clinical data * Volunteered to participate in the study * Surgical difficulty score above 5 which was determined according to Pederson scale.
Exclusion criteria
* Being out of age range * Analgesic or antibiotic therapy history in last 30 days due to symptoms of related third molar * Smoking cigarette * Any pathology associated with impacted third molar * Active complaints on preoperative examination on the day of surgery * Immunosuppressed or diagnosed with malignancy * Diagnosed chronic diseases such as; Diabetes mellitus (DM), hypertension, cerebrovascular event, psychiatric diseases, coagulopathies * Autoimmune diseases * If total operation time exceeds 45 minutes * Patients who could not attend regular follow-up visits * Allergy to the medications prescribed or utilized in study protocol * Inconsistent clinical and radiological data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oral Analgesic Consumption-2 | Postoperative Seventh Day | The patients were asked to record the amounts of consumed analgesic tablets (tablets per day) between first and last follow up visits. |
| Oral Analgesic Consumption-1 | Postoperative Second Day | The patients were asked to record the amounts of consumed analgesic tablets (tablets per day) until first follow up visit. |
| Postoperative Pain Intensity-1 | Postoperative Second Day | The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain. |
| Postoperative Pain Intensity-2 | Postoperative Seventh Day | The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain. |
| Preoperative Pain Intensity | On the day of surgery preoperatively | The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain on the day of surgery preoperatively. |
| Change From Baseline Maximal Mouth Opening on Postoperative Follow Up Visits | Preoperatively on the day of surgery, postoperative second and seventh days. | All patients' maximal mouth opening were measured and recorded as the distance between upper and lower right central incisors. |
| Change From Baseline Facial Measurements on Postoperative Follow Up Visits | Preoperatively on the day of surgery, postoperative second and seventh days. | Measurements were performed on the ipsilateral site between tragus and lateral commissura, lateral canthus and angle of mandible with a flexible ruler. The obtained values' average amounts were calculated and recorded for each patient. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral Health Impact Profile | Preoperatively on the day of surgery, postoperative second and seventh days. | Oral health-related quality of life was followed up with Oral Health Impaction Profile-14 questionnaire (Turkish Version). The investigators aimed to detect the alterations in quality of life due to surgical intervention and the other treatment modalities. The obtainable scores vary between 0-56 points. Lower scores indicate better postoperative physical and psychological conditions. |
| Postoperative Symptom Severity Evaluation | Postoperative seventh day. | Postoperative inflammatory symptoms were evaluated with the postoperative symptom severity scale at the end of the follow-up period individually. The scale scores vary between 0%-100%. The higher scores indicate that the individual experienced severe symptoms. The investigators aimed to detect the severity of symptoms from the point of the patient's view. |
| Wound Healing Scores | Postoperative second and seventh days. | Extraction wound healing rates were evaluated by Landry's healing index. The index scores were classified as; 1. Very poor, 2. Poor, 3. Good, 4. Very Good and 5. Excellent. |
Countries
Turkey (Türkiye)
Outcome results
None listed