Pain, edema and trismus on third molar surgery
Conditions
Interventions
Fifteen patients with indications of impacted third molar and presenting similar inclusions were included in the sample.
Each patient underwent two surgical procedures to perform third lower molar
in the other surgery, dipyrone of 1 g (control group), 6/6 hours, oral route, for 3 days was used.
All patients received 8 mg of dexamethasone, oral route, 1 hour before the procedure.
Afte
Drug
Dietary supplement
Other
E04.545
G07.203.300.456
Sponsors
Faculdade de Odontologia de Pernambuco
Faculdade de Odontologia de Pernambuco
Eligibility
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Healthy patients, between 18 and 40 years old, with indications of bilaterally lower third molars surgery and with the same degree of difficulty for removal.
Exclusion criteria
Exclusion criteria: Patients with any systemic disease or overweight were excluded from the study; smoking; patients who have taken any medication or anti-inflammatory drugs in the last two weeks; patients who do not attend all return visits; allergic to Dipyrone or bromelain derivatives; history of pericoronitis, and patients with absence of upper and / or lower incisors due to the impossibility of measuring the oral opening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome 1 - PAIN - Pain was assessed using the visual analogue scale of 0 to 10 centimeters, as well as through the number of rescue pills ingested by the patient.The pain was evaluated at 24 hours, at 72 hours and at 7 days after surgery.;Primary outcome 2 - edema. The edema was evaluated by the sum of three measurements of the face made with the help of a tape measure, in millimeters: tragus-pogonium, tragus-commissure and outer corner of the gonio. The measurements were performed preoperatively, with 24 hours, with 72 hours and with 7 days after surgery. The sum of the three measures of each postoperative moment was subtracted from the sum of the preoperative period, in order to evaluate the increase in this measure.;Primary outcome 3 - TRISMO - trismus was evaluated by measuring the interincisal distance in millimeters the aid of a digital caliper. Measurements were made preoperatively, with 24 hours, with 72 hours and with 7 days after surgery . The interincisal distance of each postoperative period (24 hours, 72 hours and 7 days) was subtracted from the initial interincisal distance to assess how much reduction of mouth opening occurred, ie, trismus. | — |
Secondary
| Measure | Time frame |
|---|---|
| QUALITY OF LIFE - It was evaluated through the application of the OHIP-14 questionnaire, both at the preoperative and postoperative days of 7 days. The questionnaire consists of 14 questions. For each two questions a categorical variable was used, totaling the following 7 variables: Functional limitation; Physical pain; Psychological discomfort; Physical disability; Psychological inability; Social inability; Inability. The questions contemplate five possible (never, occasionally, sometimes, repeatedly, and always) answers that were scored from 0 to 4, with answers 0, 1 and 2 being subdivided into smaller impact responses and responses 3 and 4 of greater impact of life, so they received higher scores. After the application of the questionnaire the score can be given from 0 to the maximum of 56 points, considering as affected individuals who present the score greater than 28 points ;ADVERSE EFFECTS - were evaluated at all times (24 hours, 72 hours and 7 days post-operatively) if the patient had symptoms of nausea, stomach pain, sleep, vomiting, among others. | — |
Countries
Brazil
Contacts
Public ContactBelmiro;Belmiro Vasconcelos;Vasconcelos
Universidade de Pernambuco;Universidade de Pernambuco
Outcome results
None listed