Is Cryotherapy Beneficial After Surgical Removal of Impacted Lower Third Molars? - A Randomized Split Mouth Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 主要终点
- Effects of cryotherapy on postoperative pain intensity after lower third molar extraction - using a visual analog scale.
研究概览
简要总结
The present study aimed to investigate the effects of cryotherapy on postoperative parameters (pain intensity, edema, trismus, and the quality of life) after lower third molar extraction. Patients underwent bilateral extraction of mandibular third molars in a single surgical procedure. Cryotherapy was applied to one side using facial ice packs, while no cryotherapy was performed on the contralateral side. Surgical procedures, postoperative instructions, and prescribed medications were identical for both sides. Consequently, the side treated with ice packs exhibited lower pain intensity, shorter pain duration, and reduced use of rescue medication.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Indication for bilateral surgical removal of mandibular third molars in similar positions
- •Absence of systemic comorbidities
- •Absence of local inflammatory processes
- •Absence of local infectious processes
- •No history of allergy to the prescribed medications
- •No chronic use of antibiotics, anti-inflammatory drugs, corticosteroids, and/or analgesics
排除标准
- •Use of medications other than those prescribed by the surgeon
- •Failure to provide the required data
研究组 & 干预措施
Group A
Patients in whom postoperative cryotherapy was not applied
Group B
Patients in whom postoperative cryotherapy was applied
干预措施: Cold Therapy (Other)
结局指标
主要结局
Effects of cryotherapy on postoperative pain intensity after lower third molar extraction - using a visual analog scale.
时间窗: 7 days
Evaluate the effects of cryotherapy on postoperative pain intensity following lower third molar extraction using a visual analog scale (VAS) ranging from 0 to 10, where 0 indicates no pain and 10 represents the worst pain imaginable. Pain intensity was recorded daily by the participants over a 7-day postoperative period.
Evaluate the effects of cryotherapy on postoperative edema after lower third molar extraction - using the mean of three linear facial measurements
时间窗: 7 days
Evaluate the effects of cryotherapy on postoperative edema following lower third molar extraction using three linear facial measurements: tragus to pogonion, tragus to oral commissure, and lateral canthus to the mandibular angle. Measurements were recorded in millimeters, and the mean of the three values was calculated to quantify edema. Assessments were performed preoperatively and postoperatively on the second and seventh days.
Evaluate the effects of cryotherapy on postoperative trismus after lower third molar extraction - measuring maximum mouth opening
时间窗: 7 days
Evaluate the effects of cryotherapy on postoperative trismus following lower third molar extraction by measuring maximum mouth opening. Patients were seated with the tragus-ala plane parallel to the ground. Measurements were obtained using a measuring tape and recorded in millimeters. Assessments were performed on postoperative days 0, 2, and 7.
Evaluate the effects of cryotherapy on postoperative quality of life after lower third molar extraction - using a questionnaire adapted from the Oral Health Impact Profile-14 (OHIP-14)
时间窗: 7 days
Evaluate the effects of cryotherapy on postoperative quality of life following lower third molar extraction using a questionnaire adapted from the Oral Health Impact Profile-14 (OHIP-14), consisting of 14 dichotomous (yes/no) questions addressing daily functional limitations. The questionnaire was administered on the day of surgery and completed by participants on postoperative days 0, 2, and 7.
次要结局
未报告次要终点
研究者
Henrique Tedesco
Sponsor-Investigator
Federal University of Rio Grande do Sul