Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery

Melek Volkan Yazici31 enrolled

Overview

This study will investigate the effects of a platysma muscle exercise on edema following third molar extraction surgery.

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Third Molar Extraction

Interventions

Platysma Exercise GroupOTHER

The participants in this group will perform a platysma exercise for 7 days following third molar extraction surgery.

Control (Standard treatment)OTHER

Participants in this group will receive routine treatment following third molar extraction.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 40 Years

Medical Language ↔ Plain English

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

Locations (1)

Ankara University, Faculty of Dentistry

Ankara, Cankaya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Facial Edema

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.

Time frame: Change of facial edema from baseline to 7 days

Secondary Outcomes

Pain following third molar extraction

Pain will be assessed using a 100 mm visual analog scale. Patients will be asked to mark the point on the scale that best represented their level of pain. The scale ranges from 0, indicating no pain, to 10, representing the worst pain imaginable pain.

Time frame: Change in pain scores from baseline to 7 days

Trismus

Trismus will be assessed by measuring the maximum inter-incisal distance using callipers to record the widest mouth opening.

Time frame: Change of trismus from baseline to 7 days

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.