Acupuncture on Anxiety and Inflammatory Events Following Surgery of Mandibular Third Molars

Federal University of the Valleys of Jequitinhonha and Mucuri

Status: Completed

Conditions: Edema; Tooth Extraction; Pain, Postoperative; Anxiety; Trismus; Molar, Third

Treatments: Procedure: Acupuncture

Study type: Interventional

Funder types: Other

Identifiers

NCT03545022

1.688.806

Details and patient eligibility

About

The aim of this study was to compare the effect of acupuncture and placebo acupuncture for the control of pain, edema, and trismus following the extraction of third molars and control of preoperative anxiety. Patients who met the study criteria were randomized to the type of acupuncture (active acupuncture or placebo acupuncture) and to the side of the first surgery (right or left).

Full description

Studies using acupuncture have shown promising results in the control of pain, edema, trismus and anxiety control. The use of this technique is interesting considering the negative effects of excessive use of medicines and the side effects of medications which are the most common treatment used for the control of these complications. However, there are no reports in the literature that evaluated the effects of acupuncture on the control of these variables following mandibular third molar extraction, using the placebo-needle design and blinding the patients, operators, and evaluators. Therefore, the aim of this split-mouth randomized triple-blind clinical trial was to compare the efficacy of acupuncture and placebo acupuncture for the control of pain, edema, trismus and preoperative anxiety in the extraction of third molars.

Enrollment: 18 patients

Sex: All

Ages: 17 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients with indication for bilateral extraction of asymptomatic mandibular third molars in the position class IIB, according to the classification of Pell & Gregory (1933).

Exclusion criteria

• Previous use of any type of medication in the 15 days prior to the study;
• Hypersensitivity to drugs, substances or any materials used in this experiment;
• Pregnancy or lactation;
• Previous case of pericoronitis;
• People who have previously undergone any kind of acupuncture treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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18 participants in 2 patient groups, including a placebo group

Active acupuncture

Active Comparator group

Description:

For both types of treatment, 0.25x30mm stainless steel needles were used (Dux, Brazil).The protocols were differentiated by needle size, in which the placebo needle is not inserted into the patient's skin and has an identical appearance to the active needle.The needle measuring 0.25x30mm was used as an active needle. The needles were inserted partially into an opaque guide tube filled with condensation silicone. This process was used to simulate the needle insertion for the patient and the acupuncturist and for the needle support. The active needle as well as the placebo needle were attached to the skin with an adhesive pedestal to hold the needle in place, even without inserting it into the skin.

Treatment:

Procedure: Acupuncture

Placebo acupuncture

Placebo Comparator group

Description:

For both types of treatment, 0.25x30mm stainless steel needles were used (Dux, Brazil).The protocols were differentiated by needle size, in which the placebo needle is not inserted into the patient's skin and has an identical appearance to the active needle. In the placebo needle, the needles were cut in 5mm, to measure 0.25x25mm. The needles were inserted partially into an opaque guide tube filled with condensation silicone. This process was used to simulate the needle insertion for the patient and the acupuncturist and for the needle support. The active needle, as well as the placebo needle, were attached to the skin with an adhesive pedestal to hold the needle in place, even without inserting it into the skin.

Treatment:

Procedure: Acupuncture