Anxiety Clinical Trial
Official title:
Acupuncture on Anxiety and Inflammatory Events Following Surgery of Mandibular Third Molars
NCT number | NCT03545022 |
Other study ID # | 1.688.806 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | August 2016 |
Est. completion date | March 2017 |
Verified date | May 2018 |
Source | Federal University of the Valleys of Jequitinhonha and Mucuri |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study was to compare the effect of acupuncture and placebo acupuncture for the control of pain, edema, and trismus following the extraction of third molars and control of preoperative anxiety. Patients who met the study criteria were randomized to the type of acupuncture (active acupuncture or placebo acupuncture) and to the side of the first surgery (right or left).
Status | Completed |
Enrollment | 18 |
Est. completion date | March 2017 |
Est. primary completion date | March 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 17 Years to 30 Years |
Eligibility |
Inclusion Criteria: - Patients with indication for bilateral extraction of asymptomatic mandibular third molars in the position class IIB, according to the classification of Pell & Gregory (1933). Exclusion Criteria: - Previous use of any type of medication in the 15 days prior to the study; - Hypersensitivity to drugs, substances or any materials used in this experiment; - Pregnancy or lactation; - Previous case of pericoronitis; - People who have previously undergone any kind of acupuncture treatment. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Federal University of the Valleys of Jequitinhonha and Mucuri |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Presence and intensity of postoperative pain at 24 hours following the surgery | For the evaluation of the presence and intensity of postoperative pain, a coded record (Protocol 1 or 2) was used, identifying the patient, the operated side and the chronology of the intervention (first or second surgery). Each record contained three visual analog scales (VAS) with a 10 cm line, without demarcations, with the number 0 (no pain) on the left edge and the number 10 on the right edge (extreme pain). The volunteers were instructed to mark, with a vertical trace, the point of the scale that best defined their degree of painful sensitivity after surgical procedures, which was measured with a ruler afterward. | The marking was performed at 24 hours postoperatively. | |
Primary | Presence and intensity of postoperative pain at 48 hours following the surgery. | For the evaluation of the presence and intensity of postoperative pain, a coded record (Protocol 1 or 2) was used, identifying the patient, the operated side and the chronology of the intervention (first or second surgery). Each record contained three visual analog scales (VAS) with a 10 cm line, without demarcations, with the number 0 (no pain) on the left edge and the number 10 on the right edge (extreme pain). The volunteers were instructed to mark, with a vertical trace, the point of the scale that best defined their degree of painful sensitivity after surgical procedures, which was measured with a ruler afterward. | The marking was performed at 48 hours postoperatively. | |
Primary | Presence and intensity of postoperative pain at 72 hours following the surgery. | For the evaluation of the presence and intensity of postoperative pain, a coded record (Protocol 1 or 2) was used, identifying the patient, the operated side and the chronology of the intervention (first or second surgery). Each record contained three visual analog scales (VAS) with a 10 cm line, without demarcations, with the number 0 (no pain) on the left edge and the number 10 on the right edge (extreme pain). The volunteers were instructed to mark, with a vertical trace, the point of the scale that best defined their degree of painful sensitivity after surgical procedures, which was measured with a ruler afterward. | The marking was performed at 72 hours postoperatively. | |
Primary | Change from baseline facial swelling (edema) at 24 hours following the surgery. | Facial swelling (edema) was determined by measuring with tape measure according to the method described by Gabka and Matsumara (1971). Three measurements were performed between the 5 reference points: tragus, pogonium (soft tissues), lateral corner of the eyes, the angle of the mandible, external corner of the mouth. The sum of the preoperative measurements was the standard of normality for each side. The swelling evaluation was done by subtracting the postoperative measurements by the sum obtained at the preoperative moment (baseline). | The measurements were obtained preoperatively (baseline) and at 24 hours following the surgery. | |
Primary | Change from baseline facial swelling (edema) at 48 hours following the surgery. | Facial swelling (edema) was determined by measuring with tape measure according to the method described by Gabka and Matsumara (1971). Three measurements were performed between the 5 reference points: tragus, pogonium (soft tissues), lateral corner of the eyes, the angle of the mandible, external corner of the mouth. The sum of the preoperative measurements was the standard of normality for each side. The swelling evaluation was done by subtracting the postoperative measurements by the sum obtained at the preoperative moment (baseline). | The measurements were obtained preoperatively (baseline) and at 48 hours following the surgery. | |
Primary | Change from baseline facial swelling (edema) at 72 hours following the surgery. | Facial swelling (edema) was determined by measuring with tape measure according to the method described by Gabka and Matsumara (1971). Three measurements were performed between the 5 reference points: tragus, pogonium (soft tissues), lateral corner of the eyes, the angle of the mandible, external corner of the mouth. The sum of the preoperative measurements was the standard of normality for each side. The swelling evaluation was done by subtracting the postoperative measurements by the sum obtained at the preoperative moment (baseline). | The measurements were obtained preoperatively (baseline) and at 72 hours following the surgery. | |
Primary | Change from baseline facial swelling (edema) at 7 days following the surgery. | Facial swelling (edema) was determined by measuring with tape measure according to the method described by Gabka and Matsumara (1971). Three measurements were performed between the 5 reference points: tragus, pogonium (soft tissues), lateral corner of the eyes, the angle of the mandible, external corner of the mouth. The sum of the preoperative measurements was the standard of normality for each side. The swelling evaluation was done by subtracting the postoperative measurements by the sum obtained at the preoperative moment (baseline). | The measurements were obtained preoperatively (baseline) and at 7 days following the surgery. | |
Primary | Change from baseline mouth opening at 24 hours following the surgery. | The maximum mouth opening was used to assess the level of trismus. The distance between the left upper and lower incisor was measured with a digital caliper and transcribed, in millimeters, for data recording. After verification of the measurements in the postoperative period, the difference in the measurements before and after the surgical procedure was observed, determining the level of trismus. | The measurement was determined in the preoperative period (baseline) and at the period of 24 hours following the surgery. | |
Primary | Change from baseline mouth opening at 48 hours following the surgery. | The maximum mouth opening was used to assess the level of trismus. The distance between the left upper and lower incisor was measured with a digital caliper and transcribed, in millimeters, for data recording. After verification of the measurements in the postoperative period, the difference in the measurements before and after the surgical procedure was observed, determining the level of trismus. | The measurement was determined in the preoperative period (baseline) and at the period of 48 hours following the surgery. | |
Primary | Change from baseline mouth opening at 72 hours following the surgery. | The maximum mouth opening was used to assess the level of trismus. The distance between the left upper and lower incisor was measured with a digital caliper and transcribed, in millimeters, for data recording. After verification of the measurements in the postoperative period, the difference in the measurements before and after the surgical procedure was observed, determining the level of trismus. | The measurement was determined in the preoperative period (baseline) and at the period of 72 hours following the surgery. | |
Primary | Change from baseline mouth opening at 7 days following the surgery. | The maximum mouth opening was used to assess the level of trismus. The distance between the left upper and lower incisor was measured with a digital caliper and transcribed, in millimeters, for data recording. After verification of the measurements in the postoperative period, the difference in the measurements before and after the surgical procedure was observed, determining the level of trismus. | The measurement was determined in the preoperative period (baseline) and at the period of 7 days following the surgery. | |
Primary | Change of anxiety state scores using STAI questionnaire at the moment before the preoperative acupuncture and after the acupuncture. | Anxiety was evaluated with the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire, translated and validated to Portuguese by Biaggio et al. (1977). The STAI is a validated questionnaire consisting of two parts, each with 20 questions. One part, STAI-S, evaluates the state of anxiety which is defined as anxiety in response to a situation. The other part, STAI-T, evaluates the anxiety trait, defined by the level of anxiety normally felt by the person. The two parts can be scored from 20 to 80, with the highest values indicating the highest rates of anxiety. Values =40 indicate a high level of anxiety and =50 as very high. | The STAI-S questionnaires were applied before the preoperative acupuncture and after acupuncture. | |
Primary | Change of anxiety state scores using a Visual Analogue Scale (VAS) questionnaire at the moment before the preoperative acupuncture and after the acupuncture. | A visual analog scale (VAS) consisted of a 10cm line, without divisions was used. The patients were instructed to mark the level of anxiety at that moment, with the "0" without anxiety and "10", with a high level of anxiety, that was measured with a ruler later. | The VAS were applied before the preoperative acupuncture and after acupuncture. | |
Secondary | Duration of surgery | The duration of surgery was recorded with a stopwatch in seconds. | From the time of the initial incision to the time of the final suture. | |
Secondary | Number of painkillers tablets | The number of paracetamol tablets taken after the surgery was registered by the patient. | By the seventh postoperative day. |
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