Comparison of Computer-Assisted and Conventional Local Anesthesia Methods in Impacted Wisdom Tooth Surgery

Launched by AFYONKARAHISAR HEALTH SCIENCES UNIVERSITY · Feb 26, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different ways to give local anesthesia (numbing medicine) during surgery to remove impacted wisdom teeth, also known as third molars. One method uses a computer-assisted technique, while the other is the traditional method. The goal is to see which method helps reduce pain and anxiety for patients during the procedure, as well as how each technique affects vital signs like blood pressure and heart rate.

To participate in this study, individuals should be between 18 and 40 years old and have specific types of impacted wisdom teeth that are more challenging to remove. They should be in good health and not have any serious medical conditions. Participants will receive either the computer-assisted or traditional anesthesia, and their pain levels and anxiety will be measured throughout the surgery. This research hopes to improve patient comfort and pain management during dental procedures, making the experience better for everyone involved.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Participants must meet all of the following criteria to be included in the study:
• • Must be between 18 and 40 years old
• • Must have bilaterally impacted mandibular third molars with bone retention
• • Impacted teeth must be at a mesioangular angle, classified as Class 1-2 and A--B type (Pell \& Gregory classification)
• • Must have an impacted tooth difficulty level of 3-5 according to the Pederson Difficulty Index
• • Must be classified as ASA 1 (healthy individuals with no systemic diseases)
• • Must be able to read and understand questionnaire forms and provide informed consent Must voluntarily agree to participate in the study and sign the informed consent form
• Exclusion Criteria:
• Participants will be excluded from the study if they meet any of the following criteria:
• • Presence of any systemic disease (e.g., cardiovascular disease, liver disease, hematologic disorders, neoplastic diseases, rheumatic conditions, diabetes mellitus)
• • History of psychiatric disorders or current use of anxiolytics, antidepressants, or anticonvulsants
• • Use of anti-inflammatory, analgesic, or anxiolytic medications prior to the procedure that could affect pain, inflammation, or anxiety responses
• • Chronic medication use, including antihistamines, NSAIDs, steroids, or antidepressants
• • Presence of oral pathologies affecting pain perception (e.g., pulpitis, periodontitis, oral ulcers, cysts, or tumors)
• • Suspected or confirmed pregnancy or breastfeeding
• • Allergy to the local anesthetic (articaine) used in the study
• • Hearing impairment that could interfere with study participation
• • Presence of dentophobia (severe dental phobia)