Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 31
- Locations
- 1
- Primary Endpoint
- Facial Edema
Study Overview
Brief Summary
This study will investigate the effects of a platysma muscle exercise on edema following third molar extraction surgery.
Detailed Description
The investigators hypothesized that, during the muscle contraction of the platysma, the vascular structures will be subjected to a pump effect, leading to an increase in venous circulation. Additionally, due to its connection to the fascia, the investigators propose that platysma contractions may mobilize the fascia and stimulate the lymph nodes, thereby improving interstitial fluid flow. This could lead to an effective treatment option for decreasing edema after third molar tooth extraction. Therefore, this study aims to investigate the effects of platysma exercises applied after third molar tooth extraction on edema while observing the differences on pain and trismus.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged 18-40,
- •Those requiring impacted third molar extraction
- •Those with no systemic health conditions, were included in the study
- •Those who accepted to participate in the study
Exclusion Criteria
- •Those who had systemic diseases
- •Those who were taking medications that could interfere with inflammation, or healing,
- •Those who were pregnant or breastfeeding,
- •Those who had infections or pathologies involving teeth 38 and 48,
- •Those who were unable to comply with postoperative recommendations or required therapeutic interventions outside the study protocol
Arms & Interventions
Intervention
Participants in this group will perform exercises of the platysma muscle after third molar extraction surgery.
Intervention: Platysma Exercise Group (Other)
Control (Usual treatment)
Participants in this group will undergo routine treatment after third molar extraction surgery.
Intervention: Control (Standard treatment) (Other)
Outcomes
Primary Outcomes
Facial Edema
Time Frame: Change of facial edema from baseline to 7 days
Edema will be measured by taking five distinct facial measurements using a standard plastic tape measure (accuracy ±0.5 mm), ensuring the tape makes contact with the skin. The following measurements will be recorded: (a) the distance between the most posterior point of the tragus and the most lateral point of the lip commissure; (b) from the tragus to the chin mid point; (c) from the tragus to the lateral canthus of the eye; (d) from the lateral canthus to the lowest point of the mandibular angle; and (e) from the mandibular angle to the middle of the nasal bone.
Secondary Outcomes
- Pain following third molar extraction(Change in pain scores from baseline to 7 days)
- Trismus(Change of trismus from baseline to 7 days)
Investigators
Melek Volkan Yazici
Assoc Prof.
Yuksek Ihtisas University