Efficacy of Pulsed Electromagnetic Field Therapy for Pain Management After Impacted Mandibular Third Molar Surgery. A Randomized Clinical Trial

被引:0
|
作者
Ferragina, Francesco [1 ]
Caruso, Davide [1 ]
Barca, Ida [1 ]
Kallaverja, Elvis [1 ]
Arrotta, Antonella [2 ]
Cristofaro, Maria Giulia [1 ]
机构
[1] Magna Graecia Univer, Dept Expt & Clin Med, Unit Maxillofacial Surg, Viale Europa, I-88100 Catanzaro, Italy
[2] Magna Graecia Univ Catanzaro, Dept Med & Surg Sci, Catanzaro, Italy
关键词
VISUAL ANALOG SCALE; POSTOPERATIVE PAIN; IMPORTANT DIFFERENCE; RATING-SCALE; DOUBLE-BLIND; VAS; NRS;
D O I
10.1016/j.joms.2024.02.011
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background: Postoperative pain and swelling associated with the removal of the third molar (M3) adversely affect the patient's quality of life. Purpose: The study aims to measure pain reduction and analgesic use in patients treated with pulsed electromagnetic field (PEMF) therapy following M3 removal and compares it to patients who did not receive PEMF. Study Design, Setting, Sample: The single-center study was designed as a randomized, prospective, controlled, double-blinded trial on a sample of patients with impacted mandibular M3 ascertained by x-ray orthopantomography and computed tomography. Predictor/Exposure/Independent Variables: The predictor variable is postoperative pain management. It was assigned randomly to each subject who received either PEMF or standard therapy. Main outcome Variables: The pain was quantified using a 100 mm visual analog scale and the number of analgesics taken. Each subject kept a daily clinical diary for 7 days, recording the amount of pain using the visual analog scale and the number of analgesic tablets taken. Covariates: The study covariates were age, sex, tobacco use, and Pell and Gregory's classification of M3s. Analyses: Student's t test was used, placing the statistical significance for P value < .05. The primary planned analysis was a 2-group, continuity-corrected, c 2 test of equality of proportions. Results: The study sample included 90 patients, 47 men and 43 women, with an average age of 32.43 +/- 8.80 years. PEMF was statistically associated with improved pain reduction (2.08 vs 5.04 with a P value = .0002) and consumption of fewer analgesics than the control group (2.6 vs 5.8 with a P value = .0062). Conclusions and Relevance: The study's results attest to the effectiveness of PEMF therapy in pain control after M3 surgery. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of the American Association of Oral and Maxillofacial Surgeons. This is an open access article under the CCBY license (http://creativecommons. org/licenses/by/4.0/).
引用
收藏
页码:692 / 698
页数:7
相关论文
共 50 条
  • [31] Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
    Singh, Swathi
    Gottumukkala, Sruthima Naga Venkata Satya
    Ramesh, Konathala Santosh Venkata
    Penmetsa, Gautami Subhadra
    Dwarakanath, Chinnaswami Doraiswami
    Bypalli, Vivek
    EUROPEAN ORAL RESEARCH, 2022, 56 (03) : 110 - 116
  • [32] Efficacy of a single Nd:YAG laser dose in reducing pain after mandibular third molar extraction: a prospective randomized controlled clinical trial
    Meng, Tian
    He, Linhai
    Chen, Yuhuan
    Zhang, Zhiyong
    LASERS IN MEDICAL SCIENCE, 2024, 39 (01)
  • [33] Low‐level laser therapy using laser diode 940 nm in the mandibular impacted third molar surgery: double-blind randomized clinical trial
    Ehsan Momeni
    Hoda Barati
    Melika Rajaei Arbabi
    Behrouz Jalali
    Mahdieh-Sadat Moosavi
    BMC Oral Health, 21
  • [34] Postoperative pain after bupivacaine supplementation in mandibular third molar surgery: splint-mouth randomized double blind controlled clinical trial
    de Souza A.M.M.
    Horliana A.C.R.T.
    Simone J.L.
    Jorge W.A.
    Tortamano I.P.
    Oral and Maxillofacial Surgery, 2014, 18 (4) : 387 - 391
  • [35] Effect of impacted mandibular third molar extraction on periodontal microbiota and clinical parameters of adjacent teeth: A randomized clinical trial
    Zhang, Yuan
    Liu, Meixian
    Ma, Huanhuan
    Zhang, Xiaoxuan
    Li, Na
    Chen, Xiaohang
    Cheng, Yongfeng
    Li, Huifei
    Xie, Qingpeng
    Gu, Jiawen
    Zhao, Bin
    Ren, Xiuyun
    Wang, Xing
    JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2024, 52 (08) : 937 - 947
  • [36] Influence of ozonized water on pain, oedema, and trismus during impacted third molar surgery: a randomized, triple blind clinical trial
    José Cristiano Ramos Glória
    Dhelfeson Willya Douglas-de-Oliveira
    Larissa Doalla Almeida e Silva
    Saulo Gabriel Moreira Falci
    Cássio Roberto Rocha dos Santos
    BMC Oral Health, 20
  • [37] Influence of ozonized water on pain, oedema, and trismus during impacted third molar surgery: a randomized, triple blind clinical trial
    Gloria, Jose Cristiano Ramos
    Douglas-de-Oliveira, Dhelfeson Willya
    Silva, Larissa Doalla Almeida e
    Falci, Saulo Gabriel Moreira
    dos Santos, Cassio Roberto Rocha
    BMC ORAL HEALTH, 2020, 20 (01)
  • [38] Efficacy of Fentanyl Transdermal Patch in Impacted Mandibular Third Molar Surgery—A Comparative Study
    Deepak Thakur
    Shashikant Ravupalli
    Sruthi Rao
    Viplove Ukey
    Manish Pandit
    Aafreen Aftab
    Journal of Maxillofacial and Oral Surgery, 2023, 22 : 609 - 613
  • [39] Close follow-up instead of antibiotic therapy after mandibular third molar surgery: A clinical trial
    Mehdizadeh, Mohammad
    Sharifinejad, Alireza
    Aghayari, Shokoufeh
    SAUDI DENTAL JOURNAL, 2024, 36 (05) : 761 - 764
  • [40] The comparative efficacy of soluble aspirin and paracetamol (acetaminophen) in postoperative pain after third molar surgery.
    Seymour, RA
    Hill, CM
    Sykes, J
    JOURNAL OF DENTAL RESEARCH, 2002, 81 : A481 - A481