The effectiveness of the cold therapy (cryotherapy) in the management of inflammatory parameters after removal of mandibular third molars: a meta-analysis
Int. arch. otorhinolaryngol. (Impr.)
; 23(2): 221-228, 2019. tab, ilus
Article
in English
| LILACS
| ID: biblio-1015570
Responsible library:
BR66.1
ABSTRACT
Introduction:
Cold therapy (cryotherapy) is a common procedure recommended by dental surgeons after surgical removal of thirdmolars, which is an invasive intervention that often deals with an expressive inflammatory response.Objective:
To investigate whether cryotherapy interferes with clinical outcomes such as pain, edema, and trismus in the postoperative period of mandibular third molar surgeries. DataSynthesis:
An electronic search was conducted in the OVID, PubMed, VHL, Science Direct, Cochrane Library, and Web of Science databases, through March 2018. The eligibility criteria included clinical trials that evaluated the effect of cryotherapy in at least one of the following variables pain, swelling, and trismus. Two independent reviewers assessed the studies. The methodological quality of each article was analyzed. The search strategy resulted in 1,088 articles. Following the selection process, 11 studies were included in the systematic review and 4 of them in the meta-analysis. High risk of bias was found in most of the studies according to the Cochrane Handbook assessment. Patients receiving cryotherapy had less edema than patients in the control group at second day follow-up (mean difference [MD] -0.94; 95%CI [-1.49; -0.39]). There were no statistically significant results when comparing trismus between experimental and control group (MD 0.43; 95%CI [-0.34;1.20]). There were insufficient available data to support influences in postoperative pain.Conclusions:
Cryotherapy applied on thefirstday aftermandibular third molar removal can manage edema in the patients.Well-designed randomized clinical trials to test the efficacy of cryotherapy after surgical removal of third molars are needed to justify its indication (AU)
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Tooth Extraction
/
Cryotherapy
/
Inflammation
Type of study:
Controlled clinical trial
/
Systematic review
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2019
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Section of Oral and Maxillofacial Surgery, Department of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri/BR