NCT05904873

Cold Press Test and Post Operative Pain Relationship

Can a Preoperative Cold Press Test be a Predictor of Pain After Third Molar Surgery?

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (actual)
• Sponsor: Sinem Büşra Kıraç Can · Academic / Other
• Sex: Male
• Age: 16 Years – 35 Years
• Healthy volunteers: Accepted

Summary

The goal of this clinical trial is to investigate whether it is possible to get a preliminary idea about the postoperative pain in the patient with the results of a practical cold press test applied to American Society of Anesthesiologists(ASA) 1 and 2, healthy, male patients aged 16-35 before extraction of the lower third molar. The main question it aims to answer are: • Can post-operative pain be predicted with an cold test that can be applied more practically than conventional quantitative sensory tests applied preoperatively? Participants will need to keep their hands on ice for 240 seconds prior to third molar surgery. When they take their hands off the ice, they will be asked to describe their pain on the visual analog scale. After the operation, the participants are required to mark whether they use painkillers every 8 hours in their pain follow-up forms and the pain they feel according to the visual analog scale. Depending on the endurance time of the participants to keep their hands on the ice; Two different groups were determined as less than 240 sec and equal to 240 sec. The pain scores and the amount of painkiller use between these two groups were compared with each other.

Conditions

• Post-operative Pain, Acute
• Pain Threshold

Interventions

Type	Name	Description
PROCEDURE	Mandibular Third Molar Surgery	All surgical procedures were carried out by a single dental(maxillofacial) surgeon different from the clinician performing the cold testing. A total of 4 cc of local anesthetic solution containing 40 mg/ml articaine and 0.005 mg/ml epinephrine was applied to the inferior alveolar and buccal nerve blocks before the surgical procedure. In all cases, the mucoperiosteal flap was raised and bone was removed from the buccal and distal parts of the impacted tooth with burs, while protecting the papilla between the first and second molars during flap design. Before extraction, if necessary, the third molar was divided and tooth extraction was performed with elevators. The flap was brought to its original position and closed with silk suture material.

Timeline

• Start date: 2021-05-07
• Primary completion: 2022-06-02
• Completion: 2022-12-14
• First posted: 2023-06-15
• Last updated: 2023-06-15

Locations

1 site across 1 country: Turkey (Türkiye)