Effective Hemostasis: An Analysis of Hemostatic Sponges Used in Extraction Procedures
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Post-tooth extraction hemostasis.
Study Overview
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.
Study Design
- Study Type
- Interventional
- 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.
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts 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.
Arms & Interventions
Hemostatic sponge
The colocation of a hemostatic sponge post extraction in the wound
Intervention: Hemostatic sponge post tooth extraction (Procedure)
No intervention
No colocation of hemostatic sponge in the wound
Outcomes
Primary Outcomes
Post-tooth extraction hemostasis.
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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.
Secondary Outcomes
No secondary outcomes reported