Postoperative Pain Clinical Trial
Official title:
Effect of Oral Magnesium Supplementation on Anesthesia and Postoperative Analgesia After Surgical Removal of the Lower Third Molars.
Verified date | January 2018 |
Source | University of Zagreb |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The operation of the lower third molars is one of the most common oral surgery procedures in
the world. The surgery is mostly done in local anesthesia which makes the surgery as pleasant
as possible for the patient. In addition to anesthesia control, it is also extremely
important to insure postoperative pain control since that is the nuisance that patients are
most likely to complain about after oral surgery. It has been noticed that magnesium added to
local anesthetics can improve and prolong its effect, but also reduce postoperative pain and
accelerate recovery. It can also be used as an auxiliary to control pain and inflammation,
which is why we will use it in this study, because we have not been able to find magnesium
data in the literature for the removal of the lower third molars.
Studies that have already been conducted with oral magnesium are for the purpose of
preventing asthma, migraine, for reducing mood swings in PMS, reducing pain after
endotracheal intubation, and many others.
Removal by using operative procedure is the only way to remove lower third molars.
The main objective of the study is to demonstrate the influence of the orally received
magnesium citrate (before and after surgical removal of the lower third molar) on the quality
and duration of the anesthetic block and also its effect on postoperative pain control. Other
specific objectives are to investigate the effect of pre/postoperatively received magnesium
on:
1. swelling stage after surgery.
2. time occurrence and duration of anesthesia.
3. trismus stage after the operative procedure.
4. the total amount of analgetics taken after surgery Benefits for the respondents will be
in the assumption that the anesthetic block of the mandibular nerve will last longer
with better quality, thus making the surgical procedure more pleasant and that the
overall postoperative pain will be lessened and recovery faster in the magnesium citrate
group. We also assume that in the magnesium citrate group trismus will be less
pronounced and that swelling in postoperative days will be smaller.
Status | Active, not recruiting |
Enrollment | 80 |
Est. completion date | June 15, 2019 |
Est. primary completion date | December 15, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 30 Years |
Eligibility |
Inclusion Criteria: - 18 to 30 years of age (both gender) - ASA1 (a normal healthy patient) - Parant 3 (extraction requiring osteotomy and coronal section) - non-dietary intake - non-therapeutic - no magnesium and anaesthetic allergies - no analgesics taken in the last 24 hours - without inflammations in the area - lower third molars which have an identical position in bone Exclusion Criteria: - pregnant women - breastfeeding women - people on specific nutrition - people with natural or acquired pathological conditions - persons known for drug abuse analgesics or any kind of drugs - patients who will use antibiotics or another drugs during postoperative recovery |
Country | Name | City | State |
---|---|---|---|
Croatia | Clinical Department of Oral Surgery, University Hospital "Dubrava", Zagreb | Zagreb | |
Croatia | University of Zagreb School of Dental Medicine | Zagreb |
Lead Sponsor | Collaborator |
---|---|
Daniel Jerkovic |
Croatia,
Bagis S, Karabiber M, As I, Tamer L, Erdogan C, Atalay A. Is magnesium citrate treatment effective on pain, clinical parameters and functional status in patients with fibromyalgia? Rheumatol Int. 2013 Jan;33(1):167-72. doi: 10.1007/s00296-011-2334-8. Epub 2012 Jan 22. — View Citation
Baqain ZH, Karaky AA, Sawair F, Khraisat A, Duaibis R, Rajab LD. Frequency estimates and risk factors for postoperative morbidity after third molar removal: a prospective cohort study. J Oral Maxillofac Surg. 2008 Nov;66(11):2276-83. doi: 10.1016/j.joms.2008.06.047. Erratum in: J Oral Maxillofac Surg. 2009 Mar;67(3):706.. Khaisat, Ameen [corrected to Khraisat, Ameen]. — View Citation
Borazan H, Kececioglu A, Okesli S, Otelcioglu S. Oral magnesium lozenge reduces postoperative sore throat: a randomized, prospective, placebo-controlled study. Anesthesiology. 2012 Sep;117(3):512-8. doi: 10.1097/ALN.0b013e3182639d5f. — View Citation
Colorado-Bonnin M, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Quality of life following lower third molar removal. Int J Oral Maxillofac Surg. 2006 Apr;35(4):343-7. Epub 2005 Nov 8. — View Citation
Köseoglu E, Talaslioglu A, Gönül AS, Kula M. The effects of magnesium prophylaxis in migraine without aura. Magnes Res. 2008 Jun;21(2):101-8. — View Citation
Nicar MJ, Pak CY. Oral magnesium load test for the assessment of intestinal magnesium absorption. Application in control subjects, absorptive hypercalciuria, primary hyperparathyroidism, and hypoparathyroidism. Miner Electrolyte Metab. 1982 Jul;8(1):44-51. — View Citation
Vormann J. Magnesium: nutrition and metabolism. Mol Aspects Med. 2003 Feb-Jun;24(1-3):27-37. Review. — View Citation
Walker AF, Marakis G, Christie S, Byng M. Mg citrate found more bioavailable than other Mg preparations in a randomised, double-blind study. Magnes Res. 2003 Sep;16(3):183-91. — View Citation
Wilimzig C, Latz R, Vierling W, Mutschler E, Trnovec T, Nyulassy S. Increase in magnesium plasma level after orally administered trimagnesium dicitrate. Eur J Clin Pharmacol. 1996;49(4):317-23. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Patient's personal experience of the operation | Using VAS scale, we will determine the patient's personal experience of the operation | On the day of operation | |
Primary | Pain | Patients will evaluate their postoperative pain with grades from 0-10 according to visual analogue scale (VAS) where the end points were marked as "no pain" (0) and "unbearable pain"(10). | First 3 days after surgery | |
Primary | Duration of local anesthesia | We will measure the time from the onset of anesthesia activity and the patient will write down when the activity of anesthesia has finished. | During the first day of operation | |
Secondary | Swelling stage after surgery | The patient will get a prepared written questionnaire that will be discussed thoroughly before the first operation. For the swelling we will use a subjective evaluation scale with 4 parameters: none (no swelling), light (intraoral, localized to the treated area), moderate (extraoral swelling localized to the treated area), and severe (extraoral swelling extending beyond the treated area). Swelling will be determined during the first, second and third postoperative day by the patient. |
First 3 days after surgery | |
Secondary | Trismus stage after the operative procedure. | The maximum inter-incisal opening of the mouth was calculated from the mesioincisal angle of the ipsilateral mandibular central incisor to the mesioincisal angle of the ipsilateral mandibular central incisor using the : TheraBite measure | First 3 days after surgery |
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