Extraction Socket Healing, Hemostasis, Pain, Wound Closure
Conditions
Keywords
hemostatic sponges, tooth extraction, wound healing, postoperative complications, hemostasis
Brief summary
Tooth extraction is a common dental procedure, where hemostasis is crucial for patient recovery. This study evaluates the effectiveness of hemostatic sponges in controlling bleeding and promoting postoperative healing.
Detailed description
A non-randomized experimental study was conducted at the Santo Tomás de Aquino School of Dentistry Clinic with 30 patients undergoing tooth extractions. They were divided into two groups: one with hemostatic sponges (experimental) and the other without (control). Variables such as bleeding time, wound depth, pain, and postoperative complications at 1, 8, and 15 days were analyzed.
Interventions
PROCEDUREHemostatic sponge post tooth extraction
Effectiveness of hemostatic sponges in patients undergoing tooth extractions, analyzing immediate hemostasis and scar development at different postoperative times.
Sponsors
Universidad Nacional de Caaguazu
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The statician in charge of data analysis was masked thorough codification of arms.
Intervention model description
A sample of 30 patients was selected, divided into two groups of 15 patients each: an experimental group, which received treatment with hemostatic sponges, and a control group, which did not receive such treatment.
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients over 18 years of age who underwent tooth extractions at the Santo Tomás de Aquino School of Dentistry clinic. * Teeth to be extracted, both upper and lower. * Diagnosis of pulp necrosis or irreversible pulpitis, with no possibility of endodontic treatment, impacted teeth, or periodontal disease.
Exclusion criteria
* Cancer patients undergoing radiotherapy or chemotherapy. * Smokers and alcoholics. * Patients who were uncooperative or did not attend follow-up appointments. * Patients who did not respond to follow-up calls.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-tooth extraction hemostasis. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Time measured in minutes from the end of the extraction procedure until complete bleeding cessation, assessed by direct clinical observation. |
| Wound dimensional changes | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Measurement of socket length, width, and depth using calibrated periodontal probe. Data will be reported as mean change in millimeters from baseline measurement. |
| Pain intensity | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Pain intensity measured using Visual Analog Scale (VAS). Higher scores indicate worse outcome. |
| Edema assessment | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Edema assessed by clinical examination using a 4-point scale: 0 = no edema, 1 = mild edema, 2 = moderate edema, 3 = severe edema. Higher scores indicate worse outcome. |
| Tissue color changes evaluation | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Evaluation of tissue color changes using a standardized 5-point wound healing color scale: 1 = normal pink, 2 = pale pink, 3 = red, 4 = dark red/purple, 5 = black/necrotic. Higher scores indicate worse healing. |
| Post-extraction complications | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 | Incidence of post-extraction complications including but not limited to: dry socket, infection, delayed healing, excessive bleeding, and nerve damage. Complications will be assessed by clinical examination and participant reporting. |
Countries
Paraguay
Contacts
PRINCIPAL_INVESTIGATORSofia Monzon, DDs
Universidad Nacional de Caaguazu, Grupo Salud Oral y Biomateriales
Outcome results
None listed