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Oral Bromelain After Bilateral Mandibular Third Molar Surgery
Sponsor: Istanbul Kent University
Summary
The goal of this clinical trial is to learn whether oral bromelain, a pineapple-derived enzyme supplement, reduces facial swelling, limited mouth opening (trismus), and pain after surgical removal of impacted lower wisdom teeth in healthy young adults. The main questions it aims to answer are: * Does adding bromelain to standard postoperative medication reduce facial swelling and trismus? * Does it reduce postoperative pain and the number of painkillers taken? Researchers compared each patient's recovery after two separate operations: one followed by standard medication alone and one followed by standard medication plus bromelain. Participants: * Had both impacted lower wisdom teeth removed in two separate sessions about two weeks apart * Took bromelain (500 mg twice daily for 5 days) after one randomly selected session * Had facial swelling and mouth opening measured before surgery and on days 2 and 7 * Rated their pain at set times during the first week and recorded the painkillers they took
Official title: Adjunctive Oral Bromelain After Bilateral Mandibular Third Molar Surgery: A Prospective Randomized Split-Mouth Clinical Trial of Postoperative Pain, Facial Swelling, and Trismus
Key Details
Gender
All
Age Range
18 Years - 25 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2024-06-16
Completion Date
2025-02-22
Last Updated
2026-10-26
Healthy Volunteers
No
Interventions
Bromelain
Oral bromelain 500 mg twice daily for 5 days, starting on the day of surgery, added to standard postoperative medication after one randomly allocated surgical session.
Standard postoperative medication
Amoxicillin-clavulanic acid twice daily for 7 days, flurbiprofen 100 mg as needed (up to twice daily), and benzydamine mouthwash three times daily for 7 days, given after both surgical sessions.
Locations (1)
Istanbul kent university
Istanbul, Beyoglu, Turkey (Türkiye)