The influence of cryotherapy on reduction of swelling, pain and trismus after third-molar extraction

Filho, José Rodrigues Laureano; Silva, Emanuel Dias de Oliveira e; Camargo, Igor Batista; Gouveia, Fabiana M.V.

doi:10.14219/jada.archive.2005.0261

Cited by 95 publications

(94 citation statements)

References 15 publications

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“…[1112] The result of trismus shows that there is statistically significant greater mouth opening in the piezosurgical group on postoperative days 1, 3, 5, and 7. Even the improvement of trismus in the piezosurgery group is at faster rate with no trismus on postoperative day 7 when compared to the conventional micromotor group as proved statistically.…”

Section: Discussionmentioning

confidence: 99%

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Postsurgical consequences in lower third molar surgical extraction using micromotor and piezosurgery

Mistry

Hegde

2016

Ann Maxillofac Surg

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Background:One of the most critical and crucial steps in surgical extraction is cutting the bone or osteotomy, for which many techniques are used, e.g., chisels and mallet, rotary instruments, and ultrasound bone-cutting instruments. If they are not used judiciously, they can be hazardous.Objectives:To assess the efficiency of piezosurgery unit over micromotor while performing surgical extraction of lower third molars by assessing the time taken for the surgery and measuring postoperative parameters such as pain, trismus, and swelling.Materials and Methods:Thirty patients having bilateral impacted third molars with the same difficulty index were selected for the study. One side surgical removal was done using micromotor and other side by piezosurgery with an interval of 15 days. After each surgery, time taken to finish was measured and patients were followed up on postoperative days 1, 3, 5, 7, and 15 for assessing pain, trismus, and swelling. Data obtained were statistically analyzed.Results:The mean time taken for the micromotor group is 37.90 min whereas by the piezosurgery group is 54.63 min, showing a statistically significant difference (P < 0.001). Furthermore, there is statistically significant difference (P < 0.001) in the level of pain, trismus, and swelling on postoperative days 1, 3, 5, and 7. Even the intragroup comparison of piezosurgical group for trismus and swelling showed no statistically significant difference on postoperative day 7, indicating faster recovery of trismus and swelling. On postoperative day 15, there was no difference in any parameter in both groups indicating complete symptom-free recovery in both groups.Conclusion:It takes more time to perform surgical extraction of third molars when piezosurgical unit is used. Despite that, it causes less pain postoperatively with faster improvement in trismus and quicker reduction in swelling.

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Section: Discussionmentioning

confidence: 99%

“…[1112] Measurements were recorded in millimeter unit and were noted preoperatively, postoperatively just after the surgical procedure is over, and then on postoperative day 1, 3, 5, 7, and 15 in both groups.…”

Section: Methodsmentioning

confidence: 99%

Postsurgical consequences in lower third molar surgical extraction using micromotor and piezosurgery

Mistry

Hegde

2016

Ann Maxillofac Surg

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“…In this way, cells consume less oxygen and resist longer to ischemia. [84] In the treatment of impacted third molars, the use of ice shows a good efficacy in reducing post-surgery swelling and pain as demonstrated by several authors. [69808184]…”

Section: Pharmacologic Strategiesmentioning

confidence: 99%

Strategies used to inhibit postoperative swelling following removal of impacted lower third molar

Sortino¹,

Cicciù²

2011

Dent Res J

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Postoperative swelling following different surgical strategies is an area of great interest. The main part of literature on the topic deals with swelling after extraction of low impacted third molar. In this review, we have analyzed publications of the last 20 years with a pubmed search using the following key words: impacted third molar, swelling third molar, wisdom tooth, edema jaw, corticosteroids and extraction third molar, antibiotic prophylaxis and tooth extraction. Attention has often been focused on corticosteroid therapy administered by diverse routes (orally, IV, IM, topically) and at different time schedules (before or after surgery or both). This investigation revealed how the use of different molecules and dosages makes the obtained results hardly comparable. Similar conclusions can be drawn from studies aimed at evaluating the efficacy of antibiotic therapy administered either before or after surgery. A complete review has also to take into account different surgical strategies used including various flaps, no traumatic osteothomy, and primary or secondary closure. The use of pharmacological therapy and application of an ice pack is critical in the postoperative period and has always provided positive results. However, even if it is difficult to come to definite conclusions, due to the variability of the design of studies analyzed, the postoperative discomfort identified with edema, pain and trismus following wisdom tooth removal is influenced by various factors such as the difficulty of the surgical procedure involved, age and gender of the patient, and experience of the surgeon. The pharmacological therapy when performed with corticosteroids seems to improve control of the postoperative swelling related with this kind of surgeries.

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“…Alveolitis, infection, and hemorrhage are common complications [1, 2]. Many attempts have been made to reduce the risk of complications and improve patients’ quality of life, such as platelet-rich plasma (PRP) or platelet-rich fibrin (PRF) administration [3, 4], lasers [5], cryotherapy [6], drug therapies [7], and osteotomy or flap designs [8, 9]. However, the exact solution for pain and edema has not yet been found.…”

Section: Introductionmentioning

confidence: 99%

Effect of platelet rich fibrin on edema and pain following third molar surgery: a split mouth control study

Gülşen

Şentürk

2017

BMC Oral Health

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BackgroundTo evaluate the efficacy of platelet-rich fibrine (PRF) on postoperative edema and pain after impacted mandibular third molar surgery.MethodsThe prospective study was comprised 30 patients who presented for the removal of bilateral impacted mandibular third molar teeth. After extraction, the sockets were filled with PRF or without PRF in the study and control groups, respectively. Postoperative edema was measured with a flexible tape measure by calculating the distance between several facial landmarks on postoperative days two and seven. Postoperative pain was evaluated with a line-type visual analogue scale (VAS) and a verbal scale (VRS). SPSS version 20.0 was used for data analysis.ResultsBoth groups recorded significant improvement compared to the baseline levels in almost all of the outcome variables. There was no statistically significant difference between the study and control groups (p > 0.05).ConclusionsUsing or not using PRF to reduce postoperative pain and edema in third molar surgery was equally successful.Trial registrationThis study was retrospectively registered at the ISRCTN registry (ISRCTN16849867) on 6 March 2017.

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The influence of cryotherapy on reduction of swelling, pain and trismus after third-molar extraction

Cited by 95 publications

References 15 publications

Postsurgical consequences in lower third molar surgical extraction using micromotor and piezosurgery

Postsurgical consequences in lower third molar surgical extraction using micromotor and piezosurgery

Strategies used to inhibit postoperative swelling following removal of impacted lower third molar

Effect of platelet rich fibrin on edema and pain following third molar surgery: a split mouth control study

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