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Tooth extraction is a common dental procedure, where hemostasis is crucial for patient recovery. This study evaluates the effectiveness of hemostatic sponges in controlling bleeding and promoting postoperative healing.
A non-randomized experimental study was conducted at the Santo Tomás de Aquino School of Dentistry Clinic with 30 patients undergoing tooth extractions. They were divided into two groups: one with hemostatic sponges (experimental) and the other without (control). Variables such as bleeding time, wound depth, pain, and postoperative complications at 1, 8, and 15 days were analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hemostatic sponge | Experimental | The colocation of a hemostatic sponge post extraction in the wound |
|
| No intervention | No Intervention | No colocation of hemostatic sponge in the wound |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hemostatic sponge post tooth extraction | Procedure | Effectiveness of hemostatic sponges in patients undergoing tooth extractions, analyzing immediate hemostasis and scar development at different postoperative times. |
| Measure | Description | Time Frame |
|---|---|---|
| Post-tooth extraction hemostasis. | Time measured in minutes from the end of the extraction procedure until complete bleeding cessation, assessed by direct clinical observation. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |
| Wound dimensional changes | Measurement of socket length, width, and depth using calibrated periodontal probe. Data will be reported as mean change in millimeters from baseline measurement. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |
| Pain intensity | Pain intensity measured using Visual Analog Scale (VAS). Higher scores indicate worse outcome. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |
| Edema assessment | Edema assessed by clinical examination using a 4-point scale: 0 = no edema, 1 = mild edema, 2 = moderate edema, 3 = severe edema. Higher scores indicate worse outcome. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |
| Tissue color changes evaluation | Evaluation of tissue color changes using a standardized 5-point wound healing color scale: 1 = normal pink, 2 = pale pink, 3 = red, 4 = dark red/purple, 5 = black/necrotic. Higher scores indicate worse healing. | From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |
| Post-extraction complications | Incidence of post-extraction complications including but not limited to: dry socket, infection, delayed healing, excessive bleeding, and nerve damage. Complications will be assessed by clinical examination and participant reporting. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sofia Monzon, DDs | Universidad Nacional de Caaguazu, Grupo Salud Oral y Biomateriales | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad Nacional de Caaguazu | Coronel Oviedo | Caaguazú Department | 33000 | Paraguay |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37510692 | Background | Mahmoudi A, Ghavimi MA, Maleki Dizaj S, Sharifi S, Sajjadi SS, Jamei Khosroshahi AR. Efficacy of a New Hemostatic Dental Sponge in Controlling Bleeding, Pain, and Dry Socket Following Mandibular Posterior Teeth Extraction-A Split-Mouth Randomized Double-Blind Clinical Trial. J Clin Med. 2023 Jul 10;12(14):4578. doi: 10.3390/jcm12144578. |
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On request
On request
Other researchers
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| ID | Term |
|---|---|
| D010146 | Pain |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010335 | Pathologic Processes |
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A sample of 30 patients was selected, divided into two groups of 15 patients each: an experimental group, which received treatment with hemostatic sponges, and a control group, which did not receive such treatment.
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The statician in charge of data analysis was masked thorough codification of arms.
| From the beggining of the treatment inmediatly, then at day 1, day 8, and at day 15 |