Postural Analysis During Dental Surgery

NCT ID: NCT04637854

Last Updated: 2020-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-01

Study Completion Date

2018-05-01

Brief Summary

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Background: Attention and awareness towards MSDs in the dental profession has increased considerably in recent years. From recent literature reviews, it is learned that prevalence of MSDs in dentists is 64-93%. It has been seen that the use of magnification systems not only improves the operator's visual capabilities, but also allows for a more correct posture, and to prevent the onset of back and neck disorders.

Purpose and methods: Evaluate dentist posture during extraction of third lower molars depending on whether the operator uses the naked eye, surgical loupes or surgical microscope systems. Data will be evaluated through the index RULA (rapid upper limb assesment) to define whether there is a change in exposure to the risk of MSDs (Muskoloskeletal disease) and using fiducial markers for the movement analysis of the operator during the procedure.

Detailed Description

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Study design: randomized controlled clinical trial. Purpose: Evaluate dentist posture during extraction of third lower molars depending on whether the operator uses the naked eye, surgical loupes or surgical microscope systems. Methods: Data will be analysed through the index RULA (rapid upper limb assesment) to define whether there is a change in exposure to the risk of MSDs (Muskoloskeletal disease).

Posture assessment will be based on 3-D data of the upper body, which can discriminate spatial displacements up to 2mm in translation and 1 degree in rotation.

The surgical intervention will be performed under local anesthesia (mepivacaine 20 mg/ml with adrenaline 1:100000) and by the use of microscope (OPMI Movena S7) or surgical loupes or no magnifying system.

During this session the following data will be collected for the study:

1. Demographic data (baseline)
2. Medical and dental history
3. Parameters related to the lower third molar
4. Radiographic tests
5. Marker operator position
6. Pre- and postoperative photographs

Each patients will be recalled for follow-up visits at 7 days. During this session will be carried out the removal of stitches and data will be recorded as follows:

1. VAS pain and trismus.
2. Number of painkillers taken
3. Control photographs
4. Posse Scala

Conditions

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Postural Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Operating Microscope.

Surgical technique is the same used for extraction of the lower third molar. Patients will be enrolled (baseline) whenever sign their written informed consent to participate to the study, after having read and understand the informative pamphlet.

The intervention will be performed under local anesthesia (mepivacaine 20 mg/ml with adrenaline 1:100000) and by the use of microscope.

At the end of the surgical procedure, all patients will receive a 100mg Nimesulide cpr and apply the ice pack on the cheek.

At the end of each procedure will give post-operative instructions for all patients and prescribe an antiseptic therapy with chlorhexidine coll. 0.2% 3 times/ day for 10 days from the day following the intervention and anti-inflammatory therapy Nimesulide 100 mg cpr to take up to 2 times / day for up to 4 days.

Each patients will be recalled for follow-up visits at 7 days.

Group Type EXPERIMENTAL

Operating microscope

Intervention Type PROCEDURE

Third molar extraction using microscope

Surgical Loupes with coaxial illumination.

The same as above but the intervention will be performed with the use of surgical loupes

Group Type ACTIVE_COMPARATOR

Surgical loupes

Intervention Type PROCEDURE

Third molar extraction using loupes with co-axial illumination

Naked Eye.

The same as above but the intervention will be performed at naked eyes

Group Type ACTIVE_COMPARATOR

Naked eyes

Intervention Type PROCEDURE

Third molar extraction using naked eyes

Interventions

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Operating microscope

Third molar extraction using microscope

Intervention Type PROCEDURE

Surgical loupes

Third molar extraction using loupes with co-axial illumination

Intervention Type PROCEDURE

Naked eyes

Third molar extraction using naked eyes

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients elements 38 or 48 in dysodontiasis requiring a complex extraction
* able to sign informed consent

Exclusion Criteria

* general contraindication to surgical treatment
* pregnancy
* lactation
* age under 18 years
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Milan

OTHER

Sponsor Role lead

Responsible Party

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Giovanni Lodi

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giovanni Lodi, PhD, DMD

Role: PRINCIPAL_INVESTIGATOR

University of Milan

Locations

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University of Milan

Milan, , Italy

Site Status

Countries

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Italy

Other Identifiers

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PAD

Identifier Type: -

Identifier Source: org_study_id