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Completed

NCT Number: NCT06761664

Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery

This study will investigate the effects of a platysma muscle exercise on edema following third molar extraction surgery.

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Key information

Conditions

Third Molar Extraction Behavior Edema Motor Activity Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ankara University, Faculty of Dentistry

Ankara, Cankaya, 06560, Turkey (Türkiye)

About this study

The investigators hypothesized that, during the muscle contraction of the platysma, the vascular structures will be subjected to a pump effect, leading to an increase in venous circulation. Additionally, due to its connection to the fascia, the investigators propose that platysma contractions may mobilize the fascia and stimulate the lymph nodes, thereby improving interstitial fluid flow. This could lead to an effective treatment option for decreasing edema after third molar tooth extraction. Therefore, this study aims to investigate the effects of platysma exercises applied after third molar tooth extraction on edema while observing the differences on pain and trismus.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged 18-40,
  • Those requiring impacted third molar extraction
  • Those with no systemic health conditions, were included in the study
  • Those who accepted to participate in the study

Exclusion criteria

  • Those who had systemic diseases
  • Those who were taking medications that could interfere with inflammation, or healing,
  • Those who were pregnant or breastfeeding,
  • Those who had infections or pathologies involving teeth 38 and 48,
  • Those who were unable to comply with postoperative recommendations or required therapeutic interventions outside the study protocol

Treatment and study plan

Platysma Exercise Group

Other

The participants in this group will perform a platysma exercise for 7 days following third molar extraction surgery.

Control (Standard treatment)

Other

Participants in this group will receive routine treatment following third molar extraction.

Primary outcomes

  1. Facial Edema

    Time frame: Change of facial edema from baseline to 7 days

    Edema will be measured by taking five distinct facial measurements using a standard plastic tape measure (accuracy ±0.5 mm), ensuring the tape makes contact with the skin. The following measurements will be recorded: (a) the distance between the most posterior point of the tragus and the most lateral point of the lip commissure; (b) from the tragus to the chin mid point; (c) from the tragus to the lateral canthus of the eye; (d) from the lateral canthus to the lowest point of the mandibular angle; and (e) from the mandibular angle to the middle of the nasal bone.

Secondary outcomes

  1. Pain following third molar extraction

    Time frame: Change in pain scores from baseline to 7 days

    Pain will be assessed using a 100 mm visual analog scale. Patients will be asked to mark the point on the scale that best represented their level of pain. The scale ranges from 0, indicating no pain, to 10, representing the worst pain imaginable pain.

  2. Trismus

    Time frame: Change of trismus from baseline to 7 days

    Trismus will be assessed by measuring the maximum inter-incisal distance using callipers to record the widest mouth opening.

Sponsors and collaborators

Lead sponsor

Melek Volkan Yazici

Other

Collaborators

  • Ankara University
  • Gazi University

Registry information

Official study title

Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery: a Randomized Controlled Trial

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jan 7, 2025
Registry last updated
Jan 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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