Third Molar Extraction
Conditions
Keywords
Third molar extraction, Platysma muscle, Exercise, Edema
Brief summary
This study will investigate the effects of a platysma muscle exercise on edema following third molar extraction surgery.
Detailed description
The investigators hypothesized that, during the muscle contraction of the platysma, the vascular structures will be subjected to a pump effect, leading to an increase in venous circulation. Additionally, due to its connection to the fascia, the investigators propose that platysma contractions may mobilize the fascia and stimulate the lymph nodes, thereby improving interstitial fluid flow. This could lead to an effective treatment option for decreasing edema after third molar tooth extraction. Therefore, this study aims to investigate the effects of platysma exercises applied after third molar tooth extraction on edema while observing the differences on pain and trismus.
Interventions
OTHERPlatysma Exercise Group
The participants in this group will perform a platysma exercise for 7 days following third molar extraction surgery.
OTHERControl (Standard treatment)
Participants in this group will receive routine treatment following third molar extraction.
Sponsors
Gazi University
Ankara University
Melek Volkan Yazici
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 18-40, * Those requiring impacted third molar extraction * Those with no systemic health conditions, were included in the study * Those who accepted to participate in the study
Exclusion criteria
* Those who had systemic diseases * Those who were taking medications that could interfere with inflammation, or healing, * Those who were pregnant or breastfeeding, * Those who had infections or pathologies involving teeth 38 and 48, * Those who were unable to comply with postoperative recommendations or required therapeutic interventions outside the study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Facial Edema | Change of facial edema from baseline to 7 days | Edema will be measured by taking five distinct facial measurements using a standard plastic tape measure (accuracy ±0.5 mm), ensuring the tape makes contact with the skin. The following measurements will be recorded: (a) the distance between the most posterior point of the tragus and the most lateral point of the lip commissure; (b) from the tragus to the chin mid point; (c) from the tragus to the lateral canthus of the eye; (d) from the lateral canthus to the lowest point of the mandibular angle; and (e) from the mandibular angle to the middle of the nasal bone. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain following third molar extraction | Change in pain scores from baseline to 7 days | Pain will be assessed using a 100 mm visual analog scale. Patients will be asked to mark the point on the scale that best represented their level of pain. The scale ranges from 0, indicating no pain, to 10, representing the worst pain imaginable pain. |
| Trismus | Change of trismus from baseline to 7 days | Trismus will be assessed by measuring the maximum inter-incisal distance using callipers to record the widest mouth opening. |
Countries
Turkey (Türkiye)
Outcome results
None listed