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Evaluation of Two Pharmacological Protocols for Pre-emptive Analgesia in Impacted Third Molar Surgery

Primary Purpose

Pain, Edema, Trismus

Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Dexamethasone
Diclofenac Sodium associated with Codeine
Sponsored by
Federal University of the Valleys of Jequitinhonha and Mucuri
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pain focused on measuring pain measurement, edema, trismus

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with indication of asymptomatic bilateral extractions of lower third molars;
  • Aged 18 years or older;
  • Have a good health and no disease;

Exclusion Criteria:

  • Patients with history of any medication treatment within 15 days before the beginning of the research, history of allergy to the drugs, substances or materials used in this study, pregnancy or lactation.

Sites / Locations

  • Universidade Federal dos Vales do Jequitinhonha e Mucuri

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Dexamethasone

Diclofenac Sodium associated with Codeine

Arm Description

Dexamethasone 8 mg, one capsule single preoperative dose.

Diclofenac Sodium 50 mg associated with Codeine 50 mg, one capsule single preoperative dose.

Outcomes

Primary Outcome Measures

Post-surgical swelling of third molar extraction determined using linear measures in the face
During the post-surgical intervals of 24, 48 and 72 hours and seven days, the swelling was determined using linear measures in the face.
Post-surgical trismus of third molar extraction determined by maximum mouth opening
During the post-surgical intervals of 24, 48 and 72 hours and seven days, the trismus was determined by maximum mouth opening.
Post-surgical pain of third molar extraction using visual analogic scale
The post-surgical pain was self-recorded by the patient using visual analogic scale in intervals of 24, 48 and 72 hours and seven days.

Secondary Outcome Measures

Analgesic consumption
Duration of surgery

Full Information

First Posted
January 20, 2016
Last Updated
August 18, 2016
Sponsor
Federal University of the Valleys of Jequitinhonha and Mucuri
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1. Study Identification

Unique Protocol Identification Number
NCT02665533
Brief Title
Evaluation of Two Pharmacological Protocols for Pre-emptive Analgesia in Impacted Third Molar Surgery
Official Title
Evaluation of Two Pharmacological Protocols for Pre-emptive Analgesia in Impacted Third Molar Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
January 2016 (undefined)
Primary Completion Date
January 2016 (Actual)
Study Completion Date
July 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Federal University of the Valleys of Jequitinhonha and Mucuri

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The main aim of the study is to investigate the pre-emptive effect of dexamethasone and diclofenac associated to codeine to prevent the pain, edema and limited mouth opening at the extraction of third molar.
Detailed Description
The surgery of third molar is usually associated with important post-surgical sequelae. The damage caused to tissue and bone may result in considerable pain, edema and trismus. The symptoms start gradually, peaking in 2 days after the extraction. The use of medications such as dexamethasone and diclofenac associated to codeine may support the prevention of post-surgical pain. This clinical trial aim compare the the pre-emptive effect of dexamethasone and diclofenac associated to codeine to prevent the pain, edema and limited mouth opening at the extraction of third molar.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Edema, Trismus
Keywords
pain measurement, edema, trismus

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dexamethasone
Arm Type
Active Comparator
Arm Description
Dexamethasone 8 mg, one capsule single preoperative dose.
Arm Title
Diclofenac Sodium associated with Codeine
Arm Type
Experimental
Arm Description
Diclofenac Sodium 50 mg associated with Codeine 50 mg, one capsule single preoperative dose.
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Other Intervention Name(s)
Dexamethasone Acetate
Intervention Description
Dexamethasone 8 mg
Intervention Type
Drug
Intervention Name(s)
Diclofenac Sodium associated with Codeine
Intervention Description
Diclofenac Sodium 50 mg associated with Codeine 50 mg
Primary Outcome Measure Information:
Title
Post-surgical swelling of third molar extraction determined using linear measures in the face
Description
During the post-surgical intervals of 24, 48 and 72 hours and seven days, the swelling was determined using linear measures in the face.
Time Frame
Up to seven days post-surgical
Title
Post-surgical trismus of third molar extraction determined by maximum mouth opening
Description
During the post-surgical intervals of 24, 48 and 72 hours and seven days, the trismus was determined by maximum mouth opening.
Time Frame
Up to seven days post-surgical
Title
Post-surgical pain of third molar extraction using visual analogic scale
Description
The post-surgical pain was self-recorded by the patient using visual analogic scale in intervals of 24, 48 and 72 hours and seven days.
Time Frame
Up to seven days post-surgical
Secondary Outcome Measure Information:
Title
Analgesic consumption
Time Frame
Up to seven days post-surgical
Title
Duration of surgery
Time Frame
Up to seven days post-surgical

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with indication of asymptomatic bilateral extractions of lower third molars; Aged 18 years or older; Have a good health and no disease; Exclusion Criteria: Patients with history of any medication treatment within 15 days before the beginning of the research, history of allergy to the drugs, substances or materials used in this study, pregnancy or lactation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thiago Lima
Organizational Affiliation
Federal University of the Valleys of Jequitinhonha and Mucuri
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universidade Federal dos Vales do Jequitinhonha e Mucuri
City
Diamantina
State/Province
Minas Gerais
ZIP/Postal Code
39100000
Country
Brazil

12. IPD Sharing Statement

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Evaluation of Two Pharmacological Protocols for Pre-emptive Analgesia in Impacted Third Molar Surgery

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