Effects of Melatonin and Massage After Third Molar Surgery

Bezmialem Vakif University

Status: Active, not recruiting

Conditions: Melatonin

Treatments: Other: receiving lymphatic drainage; Other: no melatonin and massage; Dietary Supplement: receive melatonin

Study type: Observational

Funder types: Other

Identifiers

NCT06812026

E.173684

Details and patient eligibility

About

Lymphatic drainage massage is an important practice, especially for reducing edema. It is a very gentle, monotonous, slow, rhythmic massage applied to the skin surface. It accelerates the flow of lymph fluid and provides comfort by minimizing swelling. Lymphatic drainage massage, which is frequently used after impacted third molar surgery, helps reduce edema and increases patient comfort during the postoperative period.

Melatonin, a hormone produced by the pineal gland, is a neurochemical substance that works in harmony with the body's natural rhythm. In addition to the brain, it is found in the retina, bone marrow, intestines, skin, and various blood cells. Conditions such as insomnia or jet lag may benefit from melatonin supplements. Besides contributing to sleep quality, melatonin may also assist in regulating the immune system, body temperature, blood pressure, and cortisol hormone levels.

Full description

Another important function of melatonin is that it is a very powerful free radical scavenger. Melatonin can neutralize both reactive oxygen species and reactive nitrogen species. It is also known to capture highly toxic hydroxyl radicals, peroxynitrite anions, and peroxyl radicals. In some cases, melatonin inhibits nitric oxide synthase, a prooxidant enzyme. Additionally, it stimulates the mRNA levels of superoxide dismutase enzyme and is known to activate glutathione peroxidase, glutathione reductase, and glucose-6-phosphate dehydrogenase. After reacting with the hydroxyl free radical (OH•), melatonin transforms into an indolyl cation radical, which is noted to capture the superoxide radical (O2 · -) in the environment and exhibit antioxidant activity. Due to this powerful antioxidant property, its effects on pain and edema have been investigated in some studies. In these studies, pre-op/post-op melatonin application has been shown to reduce postoperative pain and accelerate sensory healing due to melatonin's antioxidant effects.

Enrollment: 60 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients need for removal surgery of impacted third molars.
2. Patients without systemic diseases.

Exclusion criteria

1. Presence of systemic diseases affecting general health.
2. Presence of a malignant disease in the head and neck region.
3. Patients with any bleeding disorders.
4. Patients with cardiovascular diseases or those undergoing anticoagulant or antiplatelet therapy.

Trial design

60 participants in 3 patient groups

control

Description:

during the postoperative period receive any lymphatic drainage massage and melatonin

Treatment:

Other: no melatonin and massage

study melatonin

Description:

during the postoperative period receive only melatonin pills

Treatment:

Dietary Supplement: receive melatonin

study lymphatic drainage massage

Description:

during the postoperative period receive only lymphatic drainage massage

Treatment:

Other: receiving lymphatic drainage