Dexamethasone Effect on Pain and Edema Following Mandibular 3rd Molar Surgery; Pre-operatively vs Post-operatively
The Effect of IM Dexamethasone Administered Pre-operatively Versus Post-operatively on Pain and Edema Following Surgical Extraction of Mesio-angularly Impacted Mandibular 3 rd Molars
1 other identifier
interventional
100
1 country
1
Brief Summary
TThis is a comparative clinical study which will be conducted in OMFS department of DIKIOHS, DUHS Ojha Karachi. In this study the investigators will be comparing the effect of dexamethasone on pain and edema when administered pre-operatively vs post-operatively following surgery of impacted lower 3rd molars. Time duration of this study will be 2 months. A total of 100 patients will be considered in this study which will be equally divided into two groups; group A and group B (50 in each group).Group A will receive dexamethasone 1 hour pre-operatively while group B will receive the same post-operatively. All surgeries will be performed by the same maxillofacial surgeon and duration of surgery will be around 30-45 mins.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jul 2020
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2020
CompletedFirst Posted
Study publicly available on registry
March 24, 2020
CompletedStudy Start
First participant enrolled
July 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2020
CompletedJune 9, 2020
June 1, 2020
2 months
March 19, 2020
June 6, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Edema of face in the mandibular region
edema will be assessed using a measuring tape in three facial planes (M1,M2,M3) M1: Tragus of Ear to Corner of Mouth M2: Tragus of Ear to Pogonion M3: Lateral Canthus of Eye to Angle of Mandible.
Change in edema will be assessed from baseline at 1st, 3rd and 7th day post-operatively
Secondary Outcomes (1)
Change in Intensity of Pain in the extracted site: Visual Analog Scale (VAS)
Change in the intensity of pain will be assessed from baseline to 1st, 3rd and 7th day post-operatively.
Study Arms (2)
Group A
ACTIVE COMPARATORGroup A will receive single dose of dexamethasone IM 8mg 1 hour pre-operatively.
Group B
ACTIVE COMPARATORGroup B will receive a single dose of dexamethasone IM 8mg immediately after surgery.
Interventions
Dexamethasone is a synthetic corticosteroid. Dexamethasone is an adequate measure for reducing pain and edema in the post-operative recuperation period following 3rd molar surgery. A single dose of IM 8mg dexamethasone will be used for each patient.
Eligibility Criteria
You may qualify if:
- Patients coming to dental OPD of DIKIOHS, DUHS, Ojha with Mesioangular impactions
- Age of patients: 20-50 years
You may not qualify if:
- Patients with known co-morbidities
- Patients allergic to dexamethasone
- Patients with history of recent anti-inflammatory drug intake(NSAIDs, steroids, or antihistamines)
- Pregnant/lactating females
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dr. Ishrat ul Ebad Khan Institute Of Health Sciences, DUHS, Ojha
Karachi, Sindh, 75330, Pakistan
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Arfa Baig, FCPS
DIKIOHS, DUHS
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Registrar
Study Record Dates
First Submitted
March 19, 2020
First Posted
March 24, 2020
Study Start
July 1, 2020
Primary Completion
September 1, 2020
Study Completion
November 1, 2020
Last Updated
June 9, 2020
Record last verified: 2020-06
Data Sharing
- IPD Sharing
- Will not share