Comparison of the Anti-Inflammatory Efficacy of Preemptive Dexamethasone and Etoricoxib
NCT05142098 · Status: UNKNOWN · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 170
Last updated 2021-12-16
Summary
Impaction of mandibular third molars is a commonly encountered problem in oral surgery; patients frequently visit dental OPDs with complains related to the impacted molars, and in almost all situations, surgical removal of these impactions is the definitive treatment provided to such patients. This type of surgery often involves osteotomies and tooth sectioning, that initiates acute inflammatory responses which results in significant amount of postoperative discomfort owing to the associated pain, swelling and trismus; which considerably affects the quality of life that may span from days up to weeks in few instances. In the past decades, different group of medications have been used to counter these adverse postoperative sequelae, such as steroidal anti-inflammatory drugs (SAIDs) and non-steroidal anti-inflammatory drugs (NSAIDs).
MATERIAL AND METHODS:
Study design: Randomized, double-blind, clinical trial with a split-mouth design.
Setting: The study would be conducted at Oral \& Maxillofacial Surgery department, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi.
Duration of study: Six months after the approval of synopsis. Sample size: A total of 170 patients would be included in the study, i.e. 85 in each group with 2 patients as a drop out.
Calculated sample size is 83 patients per group; utilizing Pass version 11 software with 95% confidence interval, mean ± S.D of swelling in dexamethasone group1 95.7 ± 11.1 and in etoricoxib group1 100.0 ± 8.3 at measurement 5.
Sampling technique: Purposive non-probability sampling technique would be used for the selection of patients.
Sample selection: Patients meeting the following criteria would be included in the study: 1. Age 18-35 years. 2. Absence of any systemic disease. 3. Mandibular third molars in similar position with similar root formation. 3. No use of any medication in last 03 days. 4. Absence of allergy to any drug used in the study. 5. Surgical site with no current signs or symptoms of infection.
Patients meeting any of the following criteria would be excluded from the study: 1. Pregnancy or lactation. 2. History of gastrointestinal bleeding or peptic ulcer. 3. Current smoking habit.
Conditions
- Effect of Drug
Interventions
- DRUG
-
Intramuscular
- DRUG
-
Etoricoxib 60 mg
Orally
Sponsors & Collaborators
-
Dow University of Health Sciences
lead OTHER
Principal Investigators
-
hassan hafeez · DUHS
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 35 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-01-01
- Primary Completion
- 2022-07-01
- Completion
- 2022-08-01
More Related Trials
-
Dental Pain (Following Third Molar Tooth Extraction) Study
NCT00114049 ·Status: COMPLETED ·Phase: PHASE3
-
Preemptive Analgesia With Celecoxib for Acute Dental Pain Management
NCT04790812 ·Status: COMPLETED ·Phase: PHASE4
-
Preventive Treatment of Pain After Dental Implant Surgery
NCT03107338 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Pre-medication With Anti-inflammatory Drugs(Ibuprofen and Dexamethasone)on Post-Endodontic Pain
NCT06980870 ·Status: RECRUITING ·Phase: PHASE2
-
Comparison of the Use of Dexamethasone and Diclofenac Sodium in Immediate Post-Operative Care in Third Molar Surgery
NCT02698306 ·Status: UNKNOWN ·Phase: NA
-
The Effectiveness of Using a Single Post-operative Intramuscular Dexamethasone Injection on Patients with Surgical Extraction of Lower Third Molar
NCT06809855 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison Between Dexamethasone and Ibuprofen on Pain Prevention and Control Following Surgical Implant Placement
NCT02763059 ·Status: COMPLETED ·Phase: PHASE4
-
A Study to Asses the Effect of MK0663 in the Treatment of Patients With Postoperative Dental Pain (0663-092)
NCT00694369 ·Status: COMPLETED ·Phase: PHASE3
-
Intraosseous Versus Submucosal Dexamethsone Injection in Third Molar Surgery
NCT06720051 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Perineural and Systemic Dexamethasone Use in Dental Surgeries in Terms of Anesthesia Duration and Postop Complaints
NCT06318013 ·Status: COMPLETED
-
Dexamethasone Effect on Pain and Edema Following Mandibular 3rd Molar Surgery; Pre-operatively vs Post-operatively
NCT04319978 ·Status: UNKNOWN ·Phase: PHASE4
-
Piezo-surgery Technique and Intramuscular Dexamethasone Injection to Reduce Postoperative Pain After Impacted Mandibular Third Molar Surgery
NCT04889781 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Clinical Efficacy of Submucosal Dexamethasone and Oral Trypsin-chymotrypsin for Reduction of Postoperative Sequelae After Lower Third Molar Surgery
NCT06713733 ·Status: RECRUITING ·Phase: NA
-
Analgesic Preoperative/Postoperative Dexketoprofen Trometamol in Third Molar Surgery
NCT02380001 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Preoperative Submucosal Dexamethasone in Third Molar Surgery
NCT02837614 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Dexamethasone in Lower Third Molar Surgery
NCT02416869 ·Status: COMPLETED ·Phase: PHASE4
-
Intracanal Dexamethasone Extrusion and Postoperative Endodontic Pain
NCT06894069 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
The Effects of Dexamethasone on the Time to Pain Resolution in Dental Periapical Abscess
NCT03005522 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Effects of A-Prf and Oral Dexamethasone Use in Third Molar Extraction
NCT06823934 ·Status: COMPLETED ·Phase: NA
-
Intraosseous vs Submucosal Injection of Dexamethasone
NCT04718077 ·Status: COMPLETED ·Phase: NA
-
The Effect of Dexamethasone Submucosal Injection After Surgical Extraction of Lower Impacted Third Molars on Trismus and Edema
NCT06953440 ·Status: RECRUITING ·Phase: PHASE4
-
Comparison of Pain Between Supraperiosteal Injection of Dexamethasone Versus Placebo on Postoperative Pain in Teeth With Symptomatic Irreversible Pulpitis
NCT07233564 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Is Therapeutic Elastic Bandage As Effective As Corticosteroids Following Third Molar Surgery?
NCT04200885 ·Status: COMPLETED ·Phase: PHASE4
-
A COMPARISON OF TRANSDERMAL DICLOFENAC AND ORAL COMBINATION OF PARACETAMOL AND IBUPROFEN IN POSTOPERATIVE PAIN MANAGEMENT FOLLOWING SURGICAL EXTRACTION OF MANDIBULAR THIRD MOLAR- A RANDOMISD CONTROLLED TRIALS.
NCT06146491 ·Status: RECRUITING ·Phase: PHASE4
-
Etoricoxib Versus Ibuprofen in Third Molar Extraction Pain
NCT00855777 ·Status: UNKNOWN ·Phase: PHASE4