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Tooth extraction may be an unpleasant and painful experience for children, Post-extraction wound healing. Low-level laser therapy (LLLT) is a widely used adjuvant treatment for wound healing, resulting in both an increase in cell number and an increase in cell metabolism. HA it is an important component of the extracellular matrix and a constituent of the neural, connective, and epithelial tissues.
Tooth extraction may be an unpleasant and painful experience for children. Pain felt during dental treatment, especially tooth extraction, is the most common complication. Pain management during and after tooth extraction is part of behavioral guidance, especially in pediatric patients.
Post-extraction wound healing and pain perception are related to hostrelated factors such as the patient's immune system, the use of painkillers and antibiotics, the presence of infection in the region, and the atraumatic nature of the procedure. Low-level laser therapy (LLLT) is a widely used adjuvant treatment for wound healing. It is based on the idea that exposure to a specific wavelength can alter cellular behavior, resulting in both an increase in cell number and an increase in cell metabolism. Aside from not having any negative effects, LLLT is an a thermic, photobiological, and nondestructive therapy approach.
HA it is an important component of the extracellular matrix and a constituent of the neural, connective, and epithelial tissues. Among the many biological effects of HA are its functions in cell differentiation, wound healing, inflammation, embryological development, and viscoelasticity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low-Level Laser Therapy (LLLT) | Experimental | Participants in this arm will receive low-level laser therapy (LLLT) immediately after extraction of the first permanent molar. |
|
| Hyaluronic Acid (HA) | Experimental | Participants in this arm will receive hyaluronic acid (HA) immediately after extraction of the first permanent molar. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low-Level Laser Therapy | Device | A 980 nm diode laser will be applied immediately after extraction of the first permanent molar. The laser will be used in continuous mode at 0.5 W, with a total energy of 300 J, applied for 60 seconds at three points around the extraction socket. |
| Measure | Description | Time Frame |
|---|---|---|
| wound size | Wound size unit of measure : mm (millimeters) (mesiodistal and buccolingual dimension of each socket). | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Tissue Color Changes | Gingival color assessed using the Landry, Turnbull, and Howley Index (normal vs inflamed). Unit of Measure: Binary (normal / inflamed) | Day 0, Day 3, and Day 7 post-extraction. |
| Bleeding Upon Palpation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mona Ali Abd Elhafiz, BDS | Contact | +201000323801 | info@cu.edu.eg | |
| Mona Ali AbdelHafiz, BDS | Contact | +201000323801 | mona.ali@dentistry.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Mona Ali Abd Elhafiz, BDS | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty Of Oral & Dental Medicine - Cairo University | Giza | EL Menial | 12613 | Egypt |
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| Label | URL |
|---|---|
| Background reference on low-level laser therapy and wound healing in dentistry. | View source |
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This is an academic master's degree study. The individual participant data (IPD) will not be shared outside the study team to ensure patient confidentiality. Only aggregate results will be published.
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outcome assessors and statistician
|
| Hyaluronic Acid (HA) | Drug | Hyaluronic acid gel will be applied directly into the extraction socket immediately after tooth removal. |
|
Presence or absence of bleeding when palpating the extraction site.
Unit of Measure: Binary (yes / no)
| Day 0, Day 3, and Day 7 post-extraction. |
| Pus Presence | Presence or absence of pus at the extraction site. Unit of Measure: Binary (yes / no) | Day 0, Day 3, and Day 7 post-extraction. |
| Pain Level During Application | Pain assessed using Wong-Baker Faces Pain Rating Scale (0 = no pain, 10 = worst pain). (0 = no pain, 10 = worst pain). Higher scores indicate worse outcomes. | Immediately after intervention (Day 0). |
| ID | Term |
|---|---|
| D028022 | Low-Level Light Therapy |
| D006820 | Hyaluronic Acid |
| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D013812 | Therapeutics |
| D010789 | Phototherapy |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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