This study aimed to evaluate the effectiveness of intra socket application of Ozone oil on postoperative pain, trismus and facial swelling following the surgical extraction of impacted mandibular third molars.
Background: Surgical removal of impacted teeth is frequently encountered in dental clinic. Pain, trismus, and swelling are common postoperative sequelae for third molar surgery. Different methods have been used to prevent or decrease these postoperative sequelae, one of them is the application of Ozone oil that shows many advantages in controlling the inflammation, thus reducing pain, trismus and swelling. There is an evidence to suggest that it may have significant effects in the synthesis, release, and metabolism of a series of biochemical substances. Aim of the study: This study aimed to evaluate the effects of local application of Ozone oil on postoperative pain, trismus and facial swelling following the surgical removal of mandibular third molars. Materials and Methods: This triple blind randomized prospective clinical trial was performed during period from January 2021 until the end of July 2021, on (40) patients, age range was between (18-35) years, with impacted mandibular third molar in similar positions (Class I-II and position B, Pell and Gregory's classification). They were randomly assigned into two groups, 20 patients for Ozone oil group treated with topical application of Ozone oil in their socket, and 20 patients into the control group in which the Ozone oil syringe was inserted inside the patient mouth without applying the treatment. Assessment of trismus was done by measuring the maximum mouth opening and the swelling was assessed by measuring distance between five predetermined points (tragus, angle of mouth, pogonion, lateral angle of eye and angle of mandible). These measurements were done before surgery as a baseline record as well as at the second and seventh postoperative days. Pain was evaluated using numeric rating scale from the day of surgery until the seventh day.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
In the study group Ozone oil was placed inside the socket of the extracted tooth following suturing of the flap
In the control group Ozone oil syringe was placed inside the socket of the extracted tooth without applying the oil
Baghdad University
Baghdad, Iraq
measuring pain severity after extraction using numerical rating scale
severity measured using numerical rating scale from the first postoperative day to 7th day
Time frame: 7 days
assessing the change in mouth opening using vernier caliper
severity, baseline , the 2nd and 7th postoperative day
Time frame: baseline , the 2nd and 7th postoperative day
measuring the change in facial measurement to assess the swelling
severity, baseline , the 2nd and 7th postoperative day
Time frame: baseline , the 2nd and 7th postoperative day
surgical difficulty
duration and technique
Time frame: through out the operation duration, an average of 1 hour
class
cl 1 and cl 2
Time frame: through out the operation duration, an average of 1 hour
angulation of impaction
mesioangular , vertical, horizontal
Time frame: through out the operation duration, an average of 1 hour
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.