Clinical Trials Logo
NCT number NCT03393533
Study type Interventional
Source Universidade Estadual Paulista Júlio de Mesquita Filho
Contact Michelle B Moraes, PHD
Phone +551239479000
Status Recruiting
Phase N/A
Start date October 20, 2017
Completion date August 4, 2018

Clinical Trial Summary

Extraction of lower third molars semi-included or included is one of the most performed procedures in oral surgery, and inherent to the procedure there is a postoperative inflammatory response. Among the factors most routine to this response are pain, edema and trismus. The therapy taping has advantages in its use in the physiotherapy of several specialities, leading to the correction of muscular functions, reduction of edema, muscular spasms and reduction of pain. Thus, the objective of this split mouth, randomized, blind, clinical trial will be to evaluate the postoperative period of 32 third molars in the patients from the São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, Brasil. These evaluations will be performed on the third and seventh days after the extraction, where the patients will be analyzed by evaluator who will measure the edema, the opening of the mouth (evaluation of muscle spasm) and collect the pain table delivered in the immediate postoperative period, comparing thus, the benefit of therapeutic banding in the postoperative period of the extraction of lower third molars. The analogue pain scale (VAS), together with the Ustün et al. (2003) and the millimeter rule will be used to compare the data and the results will be submitted to descriptive statistics and compared by means of the statistical analysis of variance (ANOVA) and Tukey test with significance level of 5%.

Clinical Trial Description

Extraction of third molars is the procedure of oral and maxillofacial surgery most commonly performed around the world, usually at the outpatient level. Its execution may result in the appearance of reversible and / or irreversible disorders, but the most observed signs and symptoms are pain, edema and trismus to a greater or lesser degree. Thus, there seems to be no consensus within the literature for a better type of post-surgical treatment that leads to less patient discomfort when undergoing this kind of surgery.

The objective of this randomized, blinded trial will be to evaluate the use of therapeutic bandaging, Therapy Tex ©, In reducing the signs and symptoms inherent to the postoperative period of the third molar extracts, semi-included or included .

The sample will consist of 32 lower third molars, semi-inclusively or included, divided into two groups simultaneously, namely:

Group I (16 teeth) - without therapeutic bandaging on face. Group II (16 teeth) - with therapeutic bandaging on face. The therapeutic bandaging method will be applied in the patients of group II, according to the previous randomization.The bandage will be applied immediately after surgery and before the end of the anesthetic effect. The skin should be cleaned with 70% alcohol in order to remove residue and oiliness, and then should be dried. If necessary, scrape the hairs of the region in which the tape will rest. The application of the bandage will be in the proposed regions using the "I" cutout, in which no additional trimming is made on the tape. The length may vary depending on the size of the patient's face. After being applied the bandage should be gently wiped to activate the acrylic components that generate adhesiveness and should remain on the face for 3 days.

The patient is asked to occlude, the dimension of the masseter muscle is determined by palpation. During palpation, point A is selected in the lower portion of the zygomatic arch and point B is close to the angle of the mandible. The tape will be placed along the direction of the muscle fibers.

Placement of the second tape will occur from the mandibular angle to the mental symphysis, accompanying the entire mandibular body in its medial portion covering the milo-hyoid muscles and the anterior belly of the digastric.

The results of the clinical evaluations will be submitted to descriptive statistics and compared by means of the statistical analysis of variance (ANOVA) and Tukey test with significance level of 5%.

Study Design

Related Conditions & MeSH terms

See also
  Status Clinical Trial Phase
Completed NCT01441141 - Genetics and Pain Severity in Sickle Cell Disease N/A
Recruiting NCT03273114 - Cognitive Functional Therapy (CFT) Compared With Core Training Exercise and Manual Therapy (CORE-MT) in Patients With Chronic Low Back Pain N/A
Recruiting NCT03286543 - Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty Using the SPRINT Beta System N/A
Completed NCT02913027 - Can We Improve the Comfort of Pelvic Exams? N/A
Terminated NCT02181387 - Acetaminophen Use in Labor - Does Use of Acetaminophen Reduce Neuraxial Analgesic Drug Requirement During Labor? Phase 4
Completed NCT01077414 - Phenomenological Study of Psycho-Socio-Spiritual Healing in the Context of Chronic or Life-Threatening Illness N/A
Completed NCT01198197 - PET Brain and Whole Body Distribution Studies for Nociceptin/Orphanin FQ Peptide (NOP) Receptor Using [11C]NOP-1A Early Phase 1
Enrolling by invitation NCT03272139 - Interscalene Block Versus Superior Trunk Block Phase 4
Recruiting NCT03256487 - Intravenous Buprenorphine Versus Morphine for Severe Pain in the Emergency Department Phase 2
Recruiting NCT03170557 - Randomized Comparative Trial for Persistent Pain in Spinal Cord Injury: Acupuncture vs Aspecific Needle Skin Stimulation N/A
Completed NCT02533908 - Combination of Nitrous Oxide 70% With Fentanyl Intranasal for Procedural Analgosedation in Children Phase 3
Not yet recruiting NCT03272594 - The Influence of Breastfeeding on Cortical Activity During Procedures Phase 3
Recruiting NCT02943772 - Does Local Cooling of Testis in Patients With Epididymitis Relieve Pain and Reduce Quantity of Analgetics Intake? N/A
Recruiting NCT02839889 - Tolerability, Safety, and Feasibility of Naloxegol in Patients With Cancer and OIC (Opioid Induced Constipation) Phase 4
Recruiting NCT02911168 - Comparison of US-Guided Paravertebral and Proximal Intercostal Nerve Blocks N/A
Recruiting NCT02913833 - The Impact of Pain Assessment on the Hospital Length of Stay of Patients in a Rehabilitation Unit N/A
Recruiting NCT02829736 - ThOracoscopic Wedge Resection Treated With Chest Tube Removal Intraoperatively N/A
Active, not recruiting NCT02917603 - Shared Decision Making to Improve Palliative Care in the Nursing Home N/A
Completed NCT02916927 - Intravenous Sub-dissociative Dose Ketamine Injection Versus Infusion for Analgesia in the Emergency Department Phase 4
Not yet recruiting NCT02851940 - Pain and Bleeding Following Hypertonic Saline Sclerotherapy Compared to Brand Ligation for Symptomatic Hemorrhoids N/A