In this study; Among the patients randomized because of severe postoperative sequelae expected as a result of radiological and clinical examinations; nonsteroid antiinflammatory drug prescribed group compared with preoperative single dose intraoral submucosal corticosteroid administration and therapeutic elastic bandage application considering inflammatory symptoms' severity and health related quality of life following surgical removal of impacted third molars. The study hypothesis was formed stating that corticosteroid injection and elastic bandage application would reduce the inflammatory symptoms more than NSAID.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
52
Patients were instructed to record the number of drugs they used until the second and seventh postoperative days.
Injections were administered in the immediate preoperative period as a single shot.
The bands' lengths were individually measured and divided into five equal parts up to 2/3 of their lengths to obtain fan-type shape.
Tokat Gaziosmanpasa University, Faculty of Dentistry
Tokat Province, Turkey (Türkiye)
Preoperative Pain Intensity
The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain on the day of surgery preoperatively.
Time frame: On the day of surgery preoperatively
Change From Baseline Maximal Mouth Opening on Postoperative Follow Up Visits
All patients' maximal mouth opening were measured and recorded as the distance between upper and lower right central incisors.
Time frame: Preoperatively on the day of surgery, postoperative second and seventh days.
Change From Baseline Facial Measurements on Postoperative Follow Up Visits
Measurements were performed on the ipsilateral site between tragus and lateral commissura, lateral canthus and angle of mandible with a flexible ruler. The obtained values' average amounts were calculated and recorded for each patient.
Time frame: Preoperatively on the day of surgery, postoperative second and seventh days.
Oral Analgesic Consumption-1
The patients were asked to record the amounts of consumed analgesic tablets (tablets per day) until first follow up visit.
Time frame: Postoperative Second Day
Postoperative Pain Intensity-1
The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain.
Time frame: Postoperative Second Day
Postoperative Pain Intensity-2
The patients were asked to mark their pain intensities on a Numerical Rating Scale in which '0' means no pain, '5' means moderate pain and '10' means worst imaginable pain.
Time frame: Postoperative Seventh Day
Oral Analgesic Consumption-2
The patients were asked to record the amounts of consumed analgesic tablets (tablets per day) between first and last follow up visits.
Time frame: Postoperative Seventh Day
Wound Healing Scores
Extraction wound healing rates were evaluated by Landry's healing index. The index scores were classified as; 1. Very poor, 2. Poor, 3. Good, 4. Very Good and 5. Excellent.
Time frame: Postoperative second and seventh days.
Oral Health Impact Profile
Oral health-related quality of life was followed up with Oral Health Impaction Profile-14 questionnaire (Turkish Version). The investigators aimed to detect the alterations in quality of life due to surgical intervention and the other treatment modalities. The obtainable scores vary between 0-56 points. Lower scores indicate better postoperative physical and psychological conditions.
Time frame: Preoperatively on the day of surgery, postoperative second and seventh days.
Postoperative Symptom Severity Evaluation
Postoperative inflammatory symptoms were evaluated with the postoperative symptom severity scale at the end of the follow-up period individually. The scale scores vary between 0%-100%. The higher scores indicate that the individual experienced severe symptoms. The investigators aimed to detect the severity of symptoms from the point of the patient's view.
Time frame: Postoperative seventh day.
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