Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery

Decreasing Edema with Platysma Exercises Following Third Molar Extraction Surgery: a Randomized Controlled Trial

This study will investigate the effects of a platysma muscle exercise on edema following third molar extraction surgery.

Study Overview

• Status: Completed
• Conditions: Third Molar Extraction
• Intervention / Treatment: Other: Platysma Exercise Group; Other: Control (Standard treatment)

Detailed Description

The investigators hypothesized that, during the muscle contraction of the platysma, the vascular structures will be subjected to a pump effect, leading to an increase in venous circulation. Additionally, due to its connection to the fascia, the investigators propose that platysma contractions may mobilize the fascia and stimulate the lymph nodes, thereby improving interstitial fluid flow. This could lead to an effective treatment option for decreasing edema after third molar tooth extraction. Therefore, this study aims to investigate the effects of platysma exercises applied after third molar tooth extraction on edema while observing the differences on pain and trismus.

• Study Type: Interventional
• Enrollment (Actual): 31
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Cankaya
    • Ankara, Cankaya, Turkey, 06560
      • Ankara University, Faculty of Dentistry

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients aged 18-40,
• Those requiring impacted third molar extraction
• Those with no systemic health conditions, were included in the study
• Those who accepted to participate in the study

Exclusion Criteria:

• Those who had systemic diseases
• Those who were taking medications that could interfere with inflammation, or healing,
• Those who were pregnant or breastfeeding,
• Those who had infections or pathologies involving teeth 38 and 48,
• Those who were unable to comply with postoperative recommendations or required therapeutic interventions outside the study protocol

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Participants in this group will perform exercises of the platysma muscle after third molar extraction surgery.	Other: Platysma Exercise Group; The participants in this group will perform a platysma exercise for 7 days following third molar extraction surgery.
Active Comparator: Control (Usual treatment); Participants in this group will undergo routine treatment after third molar extraction surgery.	Other: Control (Standard treatment); Participants in this group will receive routine treatment following third molar extraction.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Facial Edema	Edema will be measured by taking five distinct facial measurements using a standard plastic tape measure (accuracy ±0.5 mm), ensuring the tape makes contact with the skin. The following measurements will be recorded: (a) the distance between the most posterior point of the tragus and the most lateral point of the lip commissure; (b) from the tragus to the chin mid point; (c) from the tragus to the lateral canthus of the eye; (d) from the lateral canthus to the lowest point of the mandibular angle; and (e) from the mandibular angle to the middle of the nasal bone.	Change of facial edema from baseline to 7 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain following third molar extraction	Pain will be assessed using a 100 mm visual analog scale. Patients will be asked to mark the point on the scale that best represented their level of pain. The scale ranges from 0, indicating no pain, to 10, representing the worst pain imaginable pain.	Change in pain scores from baseline to 7 days
Trismus	Trismus will be assessed by measuring the maximum inter-incisal distance using callipers to record the widest mouth opening.	Change of trismus from baseline to 7 days

Collaborators and Investigators

• Sponsor: Melek Volkan Yazici
• Collaborators: Gazi University; Ankara University
• Investigators: Principal Investigator: GOKHAN YAZICI, A/Prof, Gazi University

Study record dates

Study Major Dates

• Study Start (Actual): July 17, 2024
• Primary Completion (Actual): August 30, 2024
• Study Completion (Actual): November 4, 2024

Study Registration Dates

• First Submitted: January 1, 2025
• First Submitted That Met QC Criteria: January 1, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 6, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Exercise; Edema; Third molar extraction; Platysma muscle
• Additional Relevant MeSH Terms: Edema
• Other Study ID Numbers: Platysma

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Due to ethical reasons data can not be directly shared. Data can be provided upon request.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No