A Retrospective Evaluation of Topical Ozone and In- Socket PRF Application on Postoperative Pain, Edema, Trismus, Wound Healing and Mucosal Blood Stream After Third Molar Surgery
DOI:
https://doi.org/10.58600/eurjther3076Keywords:
edema, mucosal blood flow, ozone therapy, pain, platelet rich fibrin, trismus, third molar tooth, wound healingAbstract
Objective: The aim of this sudy is to evaluate the effects of topical ozone and in-socket platelet rich fibrin (PRF) applications on postoperative pain, edema, trismus and mucosal blood flow after third molar surgery retrospectively.
Methods: The data of 120 people with an impacted third molar tooth in a position of Class II and devision B to Pell Gregory classification having surgery in Oral and Maxillofacial Surgery Clinics of Gaziantep University, Faculty of Dentistry throughout a two years period were collected. They were offered to have postoperative procedures. Topical ozone and in-socket PRF applications were determined as two alternatives. Besides these two options the ones who did not like to receive any of them were surgically treated in the same manner with the others. All data were recorded independent from their choice and finally divided into three groups -with a randomized distribution within each- due to the after surgery procedures. The groups were determined as the first group having topical ozone (n=40) (F=31, M=9, mean age= ± 21.83), the second group having in-socket fibrin (n=40) (F=29, M=11, mean age= ± 22.68), and the third one having no additive therapy as a control group (n=40) (F=28, M=12, mean age= ± 23.58). All patients having the routine surgery protocols also were asked to answer a visual analog scale to score the postoperative pain. Evaluations included; the edema by lineer measurements on face, trismus by maximal mouth opening, mucosal blood flow by Laser Doppler Flowmeter, both preoperatively, and on days three and seven postoperatively. Also wound healing was evaluated by LTH score.
Results: On both postoperative in-socket PRF and topical ozone groups the clinical values were statistically better than the control group (p<0.050). While the ozone applied group exhibited better results in terms of pain and trismus on early period of healing period, the in-socket PRF applied group exhibited significant advantage on wound healing, edema and blood flow (p<0.050).
Conclusion: Topical ozone and in-socket PRF procedures are effective in supporting postoperative recovery of third molar surgery. Effects of combined application of these useful techniques may further find place in scientific researches as a new topic.
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