Effectiveness of cold therapy in reducing pain, trismus, and oedema after impacted mandibular third molar surgery: a randomized, self-controlled, observer-blind, split-mouth clinical trial

Zandi, Mohammad; Amini, Payam; Keshavarz, Ali

doi:10.1016/j.ijom.2015.10.021

Cited by 56 publications

(87 citation statements)

References 26 publications

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“…Since continuous cold therapy increases the chance of tissue ischemia and damage due to vasoconstriction, the patients were prescribed to apply the ice intermittently. 3,24 Although pain, trismus and facial swelling, as well as the extent of patient satisfaction, were reduced by cold therapy, there were no significant differences between the intervention and control groups of this study which is in line with the results of the studies by Van der Westhuijen et al 1 , Forouzanfar et al 22 and Zandi et al 23 …”

Section: -21supporting

confidence: 88%

“…Tur ki ye Kli nik le ri J Den tal Sci 2018;24(1): [19][20][21][22][23][24][25] allow full recovery from the previous operation. The same anesthetic and surgical technique was used for the second surgery; however, cold application for 24 hours, except during sleep, was added to the postoperative instructions and a cold thermo-gel wrapped in a disposable towel was given to each patient.…”

Section: Surgical Techniquementioning

confidence: 99%

“…23 Ice pack therapy was given for 24 hours to the intervention side after surgical removal of the tooth; for the control side, no cold therapy was applied. The authors stated that cold therapy did not reduce these postoperative symptoms.…”

Section: -21mentioning

confidence: 99%

“…Operation time, experience of the surgeon, gender and age of the patient, angulation and the degree of embeddedness of the impacted tooth are some of those factors. 1,21,23 As impacted lower third molar surgery is the most common oral surgery procedure and that this surgery has a high incidence of postoperative pain, edema and trismus, it is vital that the inflammatory process and the effectiveness of ice therapy in combatting that process be studied. It is still undetermined whether ice therapy, which is commonly recommended after the frequently conducted third molar surgery, has a statistically significant impact in alleviating postoperative complications.…”

Section: -21mentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Ice Pack Therapy After Impacted Third Molar Surgery: A Randomized Controlled Clinical Trial

Altıparmak¹,

Bayram²,

Diker³

et al. 2018

Turkiye Klinikleri J Dental Sci

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Section: -21supporting

confidence: 88%

Section: Surgical Techniquementioning

confidence: 99%

Section: -21mentioning

confidence: 99%

Section: -21mentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of Ice Pack Therapy After Impacted Third Molar Surgery: A Randomized Controlled Clinical Trial

Altıparmak¹,

Bayram²,

Diker³

et al. 2018

Turkiye Klinikleri J Dental Sci

View full text Add to dashboard Cite

“…Facial swelling, pain and trismus are well‐known sequelae caused by the physiological inflammatory response to the surgical trauma . Various pharmacological and therapeutic methods including non‐steroidal anti‐inflammatory drugs, corticosteroids, surgical drains, local compression and low‐level laser therapy are often used to suppress the inflammatory response after SRM3, and the outcome has been documented in systematic reviews and meta‐analyses …”

Section: Introductionmentioning

confidence: 99%

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Larsen

Kofod

Starch‐Jensen

2019

J of Oral Rehabilitation

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The objective was to test the hypothesis of no difference in facial swelling, pain, trismus and immediate quality of life after surgical removal of mandibular third molars, with or without post-operative cryotherapy. A MEDLINE (PubMed), EMBASE database and Cochrane library search in combination with a hand search of relevant journals were conducted by including human randomised controlled trials published in English until 17 July 2018. The search identified 37 titles. Six studies with low or unclear risk of bias fulfilled the inclusion criteria. Intermittent cryotherapy for 30 minutes during the first post-operative days significantly diminished facial swelling, pain and trismus compared with no cryotherapy. Patient's satisfaction and perception of recovery were significantly increased with cryotherapy. Therapeutic efficacy of intermittent cryotherapy on post-operative facial swelling, pain and trismus seems to be improved compared with continuous cryotherapy. Considerable variations in study design, diversity of used evaluation methods, outcome measures and various methodological confounding factors posed serious restrictions to review the literature in a quantitative systematic manner. Thus, conclusions drawn from the results of this systematic review should be interpreted with caution. Further well-designed randomised controlled trials including standardised protocol, larger patient sample, blinded outcome assessors, patient-reported outcome measures and three-dimensional volumetric analysis of facial swelling are required before evidence-based recommendations can be provided. K E Y W O R D S cryotherapy, dentistry, mandible, pain, review, third molar, trismus

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Postoperative online follow-up improves the quality of life of patients who undergo extraction of impacted madibular third molars: a randomized controlled trial

et al. 2020

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Objective To evaluate the effect of online follow-up on the quality of life of patients who undergo extraction of impacted mandibular third molars. Materials and methods This study enrolled patients with impacted mandibular third molars who were treated at the Department of Oral and Maxillofacial Surgery of the Stomatological Hospital at Southern Medical University and divided them into test and control groups. The test group received an online follow-up on the first, third, and fifth days after tooth extraction, while the control group was not followed up with. Patients in both groups were reexamined on the postoperative seventh day, completing the postoperative symptom severity (PoSSe) scale to comprehensively and quantitatively evaluate their quality of life after tooth extraction. A visual analogue scale (VAS) was used to evaluate the degree of approval for an online follow-up after tooth extraction by 20 senior doctors (≥ 40 years old) and 20 young doctors (<4 0 years old). Results The PoSSe scale scores of the remaining options in the test group were significantly lower than those in the control group. The VAS score of senior doctors for online follow-up was significantly lower than that of young doctors. Conclusions A postoperative online follow-up effectively improved the quality of life of patients who underwent extraction of impacted mandibular third molars. Compared with senior doctors, young doctors were more likely to approve an online followup after tooth extraction. Clinical relevance Online medical care can be considered as an auxiliary tool to improve the effect of oral treatment.

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Effectiveness of cold therapy in reducing pain, trismus, and oedema after impacted mandibular third molar surgery: a randomized, self-controlled, observer-blind, split-mouth clinical trial

Cited by 56 publications

References 26 publications

Efficacy of Ice Pack Therapy After Impacted Third Molar Surgery: A Randomized Controlled Clinical Trial

Efficacy of Ice Pack Therapy After Impacted Third Molar Surgery: A Randomized Controlled Clinical Trial

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Postoperative online follow-up improves the quality of life of patients who undergo extraction of impacted madibular third molars: a randomized controlled trial

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