Management of Postoperative Complications After Mandibular Third Molar Extraction Using Submucosal Triamcinolone Injection, Kinesiology Taping, and Standard Care

Sponsor
Allama Iqbal Medical College
Study ID
NCT07719270
Status
Not Yet Recruiting

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Conditions

  • Edema
  • Pain
  • Trismus

Eligibility Criteria

Sex
ALL
Age
18 Years - 40 Years
Healthy Volunteers
Accepted

Interventions

  • Triamcinolone Acetonide 10mg — DRUG
    Single local submucosal injection of 10mg Triamcinolone Acetonide administered immediately after third molar surgical extraction.
  • Kinesiology Taping — DEVICE
    Elastic kinesiology tape applied over the masseteric region immediately after surgery to assist in tissue decompression and lymphatic flow.
  • Standard Postoperative Care — OTHER
    Standard pharmacological regimen (routine oral analgesics/antibiotics) and post-operative home-care instructions.

Study Details

The surgical removal of impacted lower wisdom teeth (mandibular third molars) frequently leads to uncomfortable postoperative symptoms, including pain, facial swelling (edema), and restricted jaw movement (trismus). This study aims to evaluate and compare the effectiveness of two different treatment strategies alongside standard care to reduce these complications. A total of 60 patients undergoing surgical extraction will be randomly assigned to one of three groups: Group A will receive a local submucosal injection of 10mg Triamcinolone (a corticosteroid), Group B will have Kinesiology Tape applied to the face to enhance fluid drainage, and Group C will receive standard postoperative care alone. Patient recovery outcomes, including pain levels, facial swelling, and jaw mobility, will be monitored and measured at 24 hours, 3 days, and 7 days after the surgery. The study's primary objective is to determine if adding either a pharmacological injection or a mechanical tape significantly improves patient recovery compared to standard postoperative care alone.

Key Dates

First listed
Jul 22, 2026
Start date
Jan 1, 2027
Status verified
Jul 2026
Primary completion
Jun 1, 2028
Completion
Jan 1, 2029

Study Design

Enrollment
60 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Group A (Triamcinolone + Standard Care)
    Patients assigned to receive a single localized submucosal injection of 10mg Triamcinolone Acetonide immediately following surgical extraction of the lower third molar, alongside standard postoperative care.
  • Experimental: Group B (Kinesiology Taping + Standard Care)
    Patients assigned to receive application of facial Kinesiology Taping (KT) immediately post-surgery to assist with lymphatic drainage, alongside standard postoperative care.
  • Other: Group C (Standard Care Alone)
    Patients assigned to receive standard postoperative pharmacological care alone (such as prescribed oral analgesics and routine post-extraction instructions) with no additional localized intervention.

Primary Outcome Measure

Postoperative Pain Severity [ Time Frame: Preoperatively (baseline), and at 24 hours, 3 days, and 7 days postoperatively ]

Central Contacts

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