RecruitingNot ApplicableNCT06713733

Comparison of Clinical Efficacy of Submucosal Dexamethasone and Oral Trypsin-chymotrypsin for Reduction of Postoperative Sequelae After Lower Third Molar Surgery


Sponsor

B.P. Koirala Institute of Health Sciences

Enrollment

50 participants

Start Date

Sep 25, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Pain, edema and trismus are the most frequent postoperative sequelae to surgical removal of impacted teeth, all of are due to the local inflammatory response. Use of corticosteroids decrease tissue mediators of inflammation and reduce edema. Use of trypsin-chymotrypsin elaborates the enzymes esterase in blood plasma that inhibits inflammation by hydrolytic degradation of the inflammatory peptides.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Clinically healthy patients (ASA I) patient free of any systemic diseases that could interfere with wound healing or surgical operation.
  • Free of any recent anti-inflammatory drug intake or being under long term treatment with medicaments that will obscure the assessment of the inflammatory response as NSAIDs, steroids, or antihistamines
  • Free from allergy to the drugs used in the study
  • Patients requiring surgical removal of the mandibular impacted third molar

Exclusion Criteria5

  • Patients who are ASA II to ASA VI.
  • Patients already on corticosteroids through any route.
  • Patients with known allergy to any drugs.
  • Pregnant and lactating females
  • Patient not consenting to participate in the study

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Interventions

DRUGDexamethasone

local infiltration

DRUGChymotrypsin

orally given


Locations(1)

Bp Koirala Institute of Health Sciences

Dharān, Koshi, Nepal

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NCT06713733