Wound-healing
Conditions
Keywords
laser, therapy, low-level, wound healing, molar, extraction, oral
Brief summary
To evaluate the effect of low level laser therapy versus the saline on wound healing after extraction of primary Molars
Interventions
DEVICELow-level laser
Effect of Low-level laser therapy in wound healing after primary molar extraction
Following the extraction, a piece of gauze soaked in normal saline solution (NSS) will be placed over the socket. Both parents and children will be instructed to keep the gauze in place for 45 minutes
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* ● Children aged from 4 to 6 years. * Children of both genders. * Medically fit ASA I. * Children with badly decayed primary molars beyond repair and indicated for extraction. * Parents acceptance to participate in the study. * Cooperative children. * Antibiotics and painkillers have been stopped at least 12 hours prior to the procedure.(Özer et al., 2024) * Teeth with at least two-thirds of the root.
Exclusion criteria
* ● Uncooperative children. * Lack of informed consent by the child patient's parent to be approved ethically. * Unable to attend follow-up visits to avoid attrition bias by decreasing the number of drop off cases. * Medical history includes conditions such as prolonged bleeding, platelet disorders, hypersensitivity, allergic reactions to pain relievers, contraindications to laser therapy, and acute pain. * Teeth with root lengths less than two-third of the normal root length or those who experienced extensive iatrogenic trauma during tooth extraction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of granulation tissue | Follow-up day of, 3 days and 7 days after extraction | binary outcome will be recorded by clinical examination as presence or absence of granulation tissue using Landry, Turnbull, Howley Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of bleeding on palpation | Follow-up day of, 3 days, and 7 days after extraction | — |
| Presence of suppuration | Follow-up day of, 3 days, and 7 days after extraction | Clinical examination using Landry, Turnbull, and Howley Index. Unit of measurement is binary (present /absent) |
| Assessment of tissue color | Follow-up day of, 3 days, and 7 days after extraction | Binary (\>50% gingiva red, \>25% but \< 50%gingiva red, \<25% gingiva red, All tissue pink) will be recorded by Clinical examination using Landry, Turnbull, and Howley Index |
| Size of wound | Follow-up day of, 3 days, and 7 days after extraction | — |
| Rate of post operative pain | Follow-up day of, 3 days, and 7 days after extraction | Score (0-10) will be recorded by Wong-Baker Pain Scale |
| Assessment of gingival margin status | Follow-up day of, 3 days, and 7 days after extraction | — |
Outcome results
None listed