Cryotherapy in reducing pain, trismus, and facial swelling after third-molar surgery

Nascimento-Júnior, Edmundo Marques do; Santos, Gustavo Marques Sobral dos; Mendes, Mário Luis Tavares; Cenci, Maximiliano Sérgio; Corrêa, Marcos Britto; Pereira‐Cenci, Tatiana; Martins-Filho, Paulo Ricardo

doi:10.1016/j.adaj.2018.11.008

Cited by 40 publications

(25 citation statements)

References 44 publications

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“…Regarding the trismus associated with postoperative LTMS, Saez et al compared a chitosan gel against a placebo, observing a lower limitation in the experimental group [42], unlike other authors who used cryotherapy [43], or herbal extracts composed of drugs [44], who did not observe differences between the groups. This clinical trial reported differences significantly lower in the control group than in the experimental group at 72 h postoperatively (p = 0.008).…”

Section: Discussionmentioning

confidence: 98%

Effect of time-dependent ibuprofen administration on the post operatory after impacted third molar extraction: a cross-over randomized controlled trial

Pérez-González

Abusamak

Sáez-Alcaide

et al. 2022

Oral Maxillofac Surg

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Purpose To evaluate time-dependent administration of ibuprofen in a lower third molar extraction model. Methods Eleven patients requiring bilateral surgical removal of lower third molars were recruited and randomized into a blinded crossover randomized controlled trial. For 3 days after surgery, the control group was prescribed ibuprofen 400 mg every 8 h. On the other hand, the experimental group received also ibuprofen 400 mg at breakfast and lunch, replacing the dinner intake with a placebo. Pain measurements (Visual Analog Scale from 0 to 10) were recorded at baseline, 24, 48, and 72 h postoperatively. Facial swelling and trismus were also measured at baseline, 24, and 72 h postoperatively. Results Postoperative swelling and pain perception did not show significative difference between the control and experimental groups at 24, 48, and 72 h. Trismus was significantly lower in the control group than in the experimental group at 72 h postoperatively (p = 0.008). Rescue medication consumption seemed to be comparable between groups. Conclusion Eliminating night time ibuprofen might be insignificant for pain control after third molar extraction.

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Section: Discussionmentioning

confidence: 98%

Effect of time-dependent ibuprofen administration on the post operatory after impacted third molar extraction: a cross-over randomized controlled trial

Pérez-González

Abusamak

Sáez-Alcaide

et al. 2022

Oral Maxillofac Surg

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“…Cryotherapy is the local or general use of low temperatures in medical therapy. Cryotherapy has analgesic effects and reduces local edema; therefore, this treatment is an option for patients with painful and inflammatory oral lesions [ 47 , 48 ]. In a literature review, cryotherapy resulted in vasoconstriction, reduction of edema, and diminished pain perception [ 49 ].…”

Section: Resultsmentioning

confidence: 99%

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

Lee

2022

International Journal of Dentistry

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Background. The coronavirus disease 2019 (COVID-19) pandemic has impeded access to timely dental care, and there is an urgent need for adjuvant therapies that can reduce orofacial pain in emergencies. Aims. To provide information on the benefits and limitations of eight representative home remedies as palliative care for orofacial pain during the coronavirus disease 2019 (COVID-19) pandemic. Methods. PubMed and Medline were electronically searched for eight home remedies for orofacial pain that can be used in COVID-19. Papers published in English in the past 30 years were considered. Among the published studies suitable for the research purpose, those in which the abstract and body text were confirmed were targeted, and duplicate studies were excluded. Finally, 86 studies were included. Results. There is extensive and high-level scientific evidence for the application of tooth brushing and flossing, mouth rinsing with chlorhexidine, use of over-the-counter pain medication, and application of cryotherapy in emergencies. Gargling with salt water, brushing with bamboo salt, gargling with garlic juice, and oil pulling are traditional methods used for centuries. The use of natural products for orofacial pain has a significant empirical effect but has weak scientific evidence. Conclusions. Knowing the correct application method, effects, and side effects is desirable to use these methods appropriately in emergencies. However, scientific evidence is unclear and generally lacking for home remedies to be the main treatment strategy, and there are clear limitations to their use as a single main treatment.

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“…Using flat drains is a form of drainage that is less invasive than inserting round drains into the postoperative wound, inducing free flow of exudate; at the same time, it is an alternative to methods minimizing postoperative complications-steroid therapy, cryotherapy, laser therapy, Kinesio Taping [39][40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Effect of Intraoral Drainage after Impacted Mandibular Third Molar Extraction on Non-Infectious Postoperative Complications

Trybek¹,

Jarzęcka²,

Preuss³

et al. 2021

JCM

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Surgical removal of mandibular third molars is associated with non-infectious postoperative complications, including pain, swelling, trismus. Intraoral drains are noteworthy because of their ease of application, availability, and effectiveness. This study aimed to evaluate the use of latex and calcium–sodium alginate mouth flat drains on the severity of postoperative complications such as pain, trismus, and edema after surgical removal of mandibular third molars. Ninety patients who underwent surgical removal of wisdom teeth were studied. The patients were divided into three groups. Group A—with a latex flat drain, group B—with a sodium–calcium alginate (Kaltostat) flat drain, and group C—with a wound closed with knotted sutures. Patients were assessed for pain on a VAS scale every day from surgery to postoperative day 7. Before the procedure and on postoperative days 1, 2, and 7, the pain level, edema, and trismus were measured, respectively. Intraoral drainage with a flat drain after mandibular third molar removal does not significantly reduce pain, as measured by the VAS scale, or postoperative swelling, as measured by lines between craniometric points. Intraoral drainage with a latex drain after mandibular third molar removal does not significantly reduce trismus, while intraoral drainage with a calcium–sodium alginate drainage bag significantly increases trismus.

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Cryotherapy in reducing pain, trismus, and facial swelling after third-molar surgery

Cited by 40 publications

References 44 publications

Effect of time-dependent ibuprofen administration on the post operatory after impacted third molar extraction: a cross-over randomized controlled trial

Effect of time-dependent ibuprofen administration on the post operatory after impacted third molar extraction: a cross-over randomized controlled trial

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

Effect of Intraoral Drainage after Impacted Mandibular Third Molar Extraction on Non-Infectious Postoperative Complications

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