Evaluation of the Effect of Systemic Proteolytic Enzyme Therapy on Postoperative Inflammatory Response and QoL After Surgical Extraction of Impacted Mandibular Third Molars

NCT ID: NCT05681312

Last Updated: 2024-05-08

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-08

Study Completion Date

2024-09-09

Brief Summary

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1. To compare the postoperative pain between the patients who receive the systemic enzyme therapy and patients in the control group in the third and seventh day.
2. To compare the postoperative swelling (edema) between the patients who receive the systemic enzyme therapy and patients in the control group in the third and seventh day.
3. To compare the degree of trismus between the patients who receive the systemic enzyme therapy and patients in the control group in the third and seventh day.
4. Measure patients' perceptions of changes in their quality of life in the postoperative period and compare it between the patients who receive the systemic enzyme therapy and patients in the control group in the third and seventh day.

Detailed Description

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Evaluation of the effect of systemic proteolytic enzyme therapy on postoperative inflammatory response and quality of life after surgical extraction of impacted mandibular third molar.

The aim of this study is to evaluate the effect of systemic enzyme therapy(TibrolinTM) on the postoperative inflammatory response and the quality of life after surgical removal of impacted third molar. The study is designed and was implemented as a randomized controlled clinical study guided by Consolidated Standards of Reporting Trials (CONSORT) guidelines . Patients were randomly allocated to two groups (25patients per group). Group A included administration of SET after surgery and continued for 5 days post-surgery; Group B, a control group that would not receive the systemic enzyme therapy . The predictor variable was The use of systemic proteolytic enzyme (Tibrolin) or not .The primary outcome variables were pain and swelling , trismus,quality of life measured on 1st day (day of surgery), third day, and 7th after surgery.

Conditions

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Post Operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Tibrolin combination of (Trypsin 48 mg, Bromelain 90 mgand a bioflavonoid (Rutoside 100 mg) .one by one for five day
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
metronidazol 500 mg 1bythree amoxicillin 500 mg 1by three doulprane 1000 mg one by one

Study Groups

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systemic proteolytic enzyme

Tibrolin combination of (Trypsin 48 mg, Bromelain 90 mg) and a bioflavonoid (Rutoside 100 mg) one by one for five day

Group Type ACTIVE_COMPARATOR

systemic proteolytic enzyme (Tibrolin)

Intervention Type DRUG

Tibrolin is a fixed dose combination of(Trypsin 48 mg, Bromelain 90 mg) and a bioflavonoid (Rutoside 100 mg)

amoxicillin, metronidazol, doliprane

amoxicillin 500 mg one by three metronidazol 500 mg one by three doulprane 1000 mg one by one

Group Type PLACEBO_COMPARATOR

Amoxicillin 500mg+metronidazole 500mg+ doliprane 100mg

Intervention Type DRUG

Amoxicillin is given with metronidazole 500mg 1\*3' Doliprane 1000mg is given 1\*1

Interventions

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systemic proteolytic enzyme (Tibrolin)

Tibrolin is a fixed dose combination of(Trypsin 48 mg, Bromelain 90 mg) and a bioflavonoid (Rutoside 100 mg)

Intervention Type DRUG

Amoxicillin 500mg+metronidazole 500mg+ doliprane 100mg

Amoxicillin is given with metronidazole 500mg 1\*3' Doliprane 1000mg is given 1\*1

Intervention Type DRUG

Other Intervention Names

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tibrolin

Eligibility Criteria

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Inclusion Criteria

* Healthy patients over 18 years old of either gender.
* Patients who have impacted mandibular third molar.
* Ability to tolerate surgical procedure.
* Pell and Gregory's classification (Class I and class II, position A and B).

Exclusion Criteria

* Patients with uncontrolled systemic diseases.
* Patients with history of chemotherapy or radiotherapy therapy to the head and neck region.
* Acute infection at the surgical site at time of operation.
* The presence of cysts or tumors associated with the impacted teeth.
* Pell and Gregory's classification (class III Position C)
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Baghdad

OTHER

Sponsor Role lead

Responsible Party

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Dunya Abdulmuniem

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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salwan bede

Role: STUDY_DIRECTOR

University of Baghdad

Locations

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Dunya Abdulmuniem Mahmood

Baghdad, , Iraq

Site Status RECRUITING

Countries

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Iraq

Central Contacts

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Dunya Abdulmuniem

Role: CONTACT

078018282446 ext. 00964

Other Identifiers

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673122

Identifier Type: -

Identifier Source: org_study_id

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