Biostimulation After Tooth Extraction

Not Applicable

Completed

• Conditions: Dental Caries in Children; Wound Heal
• Interventions: Other: Tooth extraction

• Registration Number: NCT06018584
• Lead Sponsor: Hazal Özer

Brief Summary

This study evaluated the effect of low-level laser therapy on postoperative pain and wound healing in children undergoing primary molar extractions 40children, 6-10 years of age, systemically healthy, and had atraumatic extraction indications of bilateral primary molar teeth were included in the study. A randomly selected tooth was extracted under local anesthesia in the first session. Only the clot formation on the socket was observed and photographed in the control group. Other group extractions were performed 2weeks later. The LLLT group was treated with a 980 nm wavelength Doctor Smile Wiser diode laser and photographed. Non-epithelialized surface measurements were performed with the ImageJ program. Pain assessment was performed with the Wong-Baker Pain Scale. Statistical analyses were performed with SPSS software.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-11-01
• Primary Completion: 2018-04-01
• Study Completion: 2018-05-01
• Status Verified: 2023-08
• Study First Submitted: 2023-08-21
• Study First Submitted QC: 2023-08-25
• Last Update Submitted: 2023-08-25
• Study First Posted: 2023-08-30
• Last Update Posted: 2023-08-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• indication for tooth extraction in bilateral primary molars
• did not have any systemic disease
• the use of antibiotics and painkillers was stopped at least 12 hours ago

Exclusion Criteria

• require complicated tooth extractions
• systemic disease
• the use of antibiotics and painkillers in 12 hours

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Control Group	Tooth extraction	No application was made after the tooth extraction procedure in the control group.
Low- Level Laser Group (Doctor Smile Wiser)	Tooth extraction	In the Laser group, the diode laser device Doctor Smile Wiser (Wiser, Doctor Smile, Milan, Italy) (Figue 1) with a wavelength of 980 nm and a power of 0.5 W was used for LLLT. During the procedure, the patient, physician, and assistant staff wore protective glasses (Wiser, Doctor Smile, Milan, Italy). With 300 mW of energy, a 400 m tip held 1 cm away from the extraction socket was applied to the extraction socket for 60 seconds from three points determined from the vestibule, lingual/palatal, and occlusal surfaces.

Primary Outcome Measures

Name	Time	Method
Wound healing	intervention (tooth extraction) day, 3rd day and 7th day	For the evaluation of soft tissue healing in extraction sockets, intraoral photographs were taken at an angle of 60° to the occlusal surface on the 3rd and 7th days following the extraction session. Non-epithelialized surface measurements were made by two observing physicians using the ImageJ (NIH, Rockville, USA) program.
Pain score	intervention day (tooth extraction), 3rd day and 7th day	Pain assessment in both groups was performed with the Wong-Baker Pain Rating Scale (Wong-Baker FACES Pain Rating Scale PRS). Patients were asked to choose a face or number from the scale, and the selected value was the practitioner dentist on the day of the procedure; other days were recorded by the parent. This scale is graded from 0 to 10. 0 indicates no pain, and 10 marks the most severe pain. It is asked to evaluate the pain according to the facial expression.