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Completed

NCT Number: NCT04452734

Efficacy of Platelet Rich Plasma (PRP) on Mouth Opening and Pain After Surgical Extraction of Mandibular Third Molars.

Wisdom tooth extraction is the most common surgical procedure being carried out in oral surgical departments. The complications carried by post operative period include pain and trismus and may affect patient's quality of life.

PRP is an autologous concentrate of platelet in plasma and accelerate healing by production of growth factors. PRP is prepared from patient's own blood and later packed with gel sponge (Spongistone) in the experimental group immediately after surgical extraction of mandibular third molar teeth, followed by suture placement to close the surgical site.

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Key information

Conditions

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Wisdom tooth extraction is the most common surgical procedure being carried out in oral surgical departments. The complications carried by post operative period includes pain, swelling, trismus , along with disturbance in post extraction wound healing which may significantly affect patient's quality of life.

PRP is an autologous concentrate of platelet suspended in plasma and accelerate healing by production of various growth factors. PRP is prepared from patient's own blood and later packed with gel sponge (Spongistone) in the experimental group immediately after surgical extraction of mandibular third molar teeth, followed by suture placement to close the surgical site. PRP speeds up healing by concentration of growth factors which can lessen the inflammation and decreases trismus and pain.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age between 18-45 iyears
  • Either gender
  • Patients requiring extraction of mandibular 3rd molars
  • ASA grade1
  • Nonsmokers & non alcoholics
  • Not allergic to any medicines
  • No pain before the extraction procedure
  • No trismus, i.e. normal mouth opening before the extraction procedure -

Exclusion criteria

a) Systemic diseases b) Compromised immune system c) Platelet count less than 1.5 lacs/cmm d) Allergy to drugs e) Patients not willing to participate in the study f) Pregnant females/Lactating mothers g) Presence of pericoronitis, periapical infection or any associated lesion.

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Treatment and study plan

Platelet Rich Plasma (PRP)

Procedure

PRP was prepared by withdrawing 8-10 ml of patients own blood (IV from antecubiodal area and collected in a vacuum tube coated with anticoagulant (Na citrate). For activation 1 ml of calcium chloride was added to Platelet Rich Plasma. This layer of approximately 2 ml of PRP was then taken into the residual bone cavity along with gel sponge to stimulate regeneration in wound healing after surgical extraction of mandibular third molar tooth followed by sutures

Surgical Extraction

Procedure

Surgical extraction procedure under Local anesthesia on dental chair, followed by spongstone (gel sponge) and suture placement.

Primary outcomes

  1. Visual Analogue Scale (VAS)

    Time frame: 1 day

    Visual Analogue Scale (VAS) used to quantify pain

  2. Visual Analogue Scale (VAS)

    Time frame: 3rd post op day

    Visual Analogue Scale (VAS) used to quantify pain

  3. Visual Analogue Scale (VAS)

    Time frame: 7th post op day

    Visual Analogue Scale (VAS) used to quantify pain

  4. Trismus

    Time frame: 1 day

    Trismus was quantified/measured using Vernier Calliper.

  5. Trismus

    Time frame: 3rd post op day

    Trismus was quantified/measured using Vernier Calliper.

  6. Trismus

    Time frame: 7th post op day

    Trismus was quantified/measured using Vernier Calliper.

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jun 30, 2020
Registry last updated
Jun 30, 2020

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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