Cold Therapy
Conditions
Brief summary
The present study aimed to investigate the effects of cryotherapy on postoperative parameters (pain intensity, edema, trismus, and the quality of life) after lower third molar extraction. Patients underwent bilateral extraction of mandibular third molars in a single surgical procedure. Cryotherapy was applied to one side using facial ice packs, while no cryotherapy was performed on the contralateral side. Surgical procedures, postoperative instructions, and prescribed medications were identical for both sides. Consequently, the side treated with ice packs exhibited lower pain intensity, shorter pain duration, and reduced use of rescue medication.
Interventions
OTHERCold Therapy
Postoperative cold therapy applied with ice packs
Sponsors
Henrique Tedesco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized split-mouth clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Indication for bilateral surgical removal of mandibular third molars in similar positions * Absence of systemic comorbidities * Absence of local inflammatory processes * Absence of local infectious processes * No history of allergy to the prescribed medications * No chronic use of antibiotics, anti-inflammatory drugs, corticosteroids, and/or analgesics
Exclusion criteria
* Use of medications other than those prescribed by the surgeon * Failure to provide the required data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects of cryotherapy on postoperative pain intensity after lower third molar extraction - using a visual analog scale. | 7 days | Evaluate the effects of cryotherapy on postoperative pain intensity following lower third molar extraction using a visual analog scale (VAS) ranging from 0 to 10, where 0 indicates no pain and 10 represents the worst pain imaginable. Pain intensity was recorded daily by the participants over a 7-day postoperative period. |
| Evaluate the effects of cryotherapy on postoperative edema after lower third molar extraction - using the mean of three linear facial measurements | 7 days | Evaluate the effects of cryotherapy on postoperative edema following lower third molar extraction using three linear facial measurements: tragus to pogonion, tragus to oral commissure, and lateral canthus to the mandibular angle. Measurements were recorded in millimeters, and the mean of the three values was calculated to quantify edema. Assessments were performed preoperatively and postoperatively on the second and seventh days. |
| Evaluate the effects of cryotherapy on postoperative trismus after lower third molar extraction - measuring maximum mouth opening | 7 days | Evaluate the effects of cryotherapy on postoperative trismus following lower third molar extraction by measuring maximum mouth opening. Patients were seated with the tragus-ala plane parallel to the ground. Measurements were obtained using a measuring tape and recorded in millimeters. Assessments were performed on postoperative days 0, 2, and 7. |
| Evaluate the effects of cryotherapy on postoperative quality of life after lower third molar extraction - using a questionnaire adapted from the Oral Health Impact Profile-14 (OHIP-14) | 7 days | Evaluate the effects of cryotherapy on postoperative quality of life following lower third molar extraction using a questionnaire adapted from the Oral Health Impact Profile-14 (OHIP-14), consisting of 14 dichotomous (yes/no) questions addressing daily functional limitations. The questionnaire was administered on the day of surgery and completed by participants on postoperative days 0, 2, and 7. |
Outcome results
None listed