Impacted Third Molar Tooth
Conditions
Keywords
impacted third molar, oral surgery, edema, trismus, pain, postoperative sequelae
Brief summary
The present study was to evaluate the effect of topical Arnica and MPSP application with respect to visual analogue scale (VAS) scores, maximal interincisal opening (MIO) and edema values after mandibular impacted third molar removal on days 1, 3, 5 and 10 postoperatively. The following null hypotheses of the present research were determined as follows: usage of topical agents would not influence i) VAS scores, ii) MIO values, and iii) edema values on 1st, 3rd, 5th, and 10th days after the mandibular impacted third molar surgery
Interventions
DRUG: Arnica montana
In Arnica group, patients were given an unlabelled tube containing cream to be applicated topically on skin surface of masseteric and submandibular region, 2 cm in length cream for each 8 hours, starting immediately after surgery and continued for 10 days
DRUGMucopolysaccharide polysulfate
In Arnica group and MPSP group, patients were given an unlabelled tube containing cream to be applicated topically on skin surface of masseteric and submandibular region, 2 cm in length cream for each 8 hours, starting immediately after surgery and continued for 10 days
OTHERControl group
In Control group, only standard therapy was performed after surgery
Sponsors
Abant Izzet Baysal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 68 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 16-68 years * American Society of Anesthesiologists (ASA) Class 1 physiological status * Consistent radiological and clinical data * Volunteered to participate in the study * Scale II surgery difficulty according to Modified Parant Classification for mandibular impacted third molar removal, be free of pericoronitis and infection at operation time
Exclusion criteria
* Being out of age range * Pregnancy or lactation * Analgesic or antibiotic therapy history in last 14 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 * Patients who could not attend regular follow-up visits * Allergy to the medications prescribed or utilized in study protocol * Inconsistent clinical and radiological data or missed follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative Pain Intensity | On the day of surgery preoperatively | The patients were assessed using a visual analogue scale (VAS), 10 cm in length, ranging from 0 for no pain to 10 for the worst possible pain. Preoperative VAS value recorded. |
| Change From Baseline Maximal Interincisal Opening (MIO) on Postoperative Follow Up Visits | Preoperatively on the day of surgery, postoperative first, third, fifth and tenth days | All patients' maximal interincisal opening were measured and recorded as the distance between upper and lower central incisors. Preoperative MIO value recorded. The measurements were repeated as described above in the 1st, 3rd, 5th, and 10th days after surgery and recorded. |
| 3. Change From Baseline Facial Measurements for Evaluation of Edema on Postoperative Follow Up Visits | Preoperatively on the day of surgery, postoperative first, third, fifth and tenth days | The level of edema was determined by a modification of tape measuring method described by Gabka and Matsumara \[20, 21\]. Three measurements (in mm) (AC, AE and BE) were made between 5 reference points: A) tragus, B) lateral corner of the eye, C) outer corner of the mouth, D) angle of the mandible, and E) soft tissue pogonion. The mean of three preoperative measurements was calculated and recorded. The measurements were repeated as described above in the 1st, 3rd, 5th, and 10th days after surgery. |
Countries
Turkey (Türkiye)
Outcome results
None listed