Efficacy of serratiopeptidase after impacted third molar surgery: a randomized controlled clinical trial

BMC Oral Health

Hamza Kharashgeh¹  Zaid Tamimi¹  Rola Al Habashneh²  Mutasim al-Ghazawi³  Islam Hamad⁴  Ala’ Abu Roqa’a⁵ 

[1] Department Oral Surgery and Oral Medicine, Jordan University of Science and Technology, Irbid, Jordan;Department Periodontology, Jordan University of Science and Technology, Irbid, Jordan;Department of Biopharmaceutics and Clinical Pharmacy, The University of Jordan, Amman, Jordan;Department of Pharmacy, American University of Madaba, Amman, Jordan;The First for Research and Development LLC, Amman, Jordan;

关键词: Third;    Molar;    Surgery;    Inflammation;    Trismus;    Swelling;   

DOI  :  10.1186/s12903-021-01451-0

来源: Springer

【 摘 要 】

BackgroundSerratiopeptidase has been clinically used in controlling surgical and non-surgical inflammatory conditions. This study was conducted to assess the therapeutic effect of Serratiopeptidase in patients undergoing surgical removal of impacted mandibular third molar.MethodsThis randomized clinical trial investigated the efficacy of Serratiopeptidase and Paracetamol after surgical removal of impacted third molar for 5 days (n = 67) as compared with an equivalent dose of placebo and Paracetamol (n = 66). Outcome measures were reported pain, trismus and swelling using Laskin method. All outcome measures were recorded on days 0, 1, 2, 4, and 5 post-surgeries.ResultsIn this clinical trail 133 patients (mean age 23 years, 54% female) completed the study. Baseline characteristics were comparable across treatment groups. Serratiopeptidase significantly improved trismus compared with control on the 4th day (27.30 ± 7.3 mm and 32.06 ± 7.7 mm, respectively (P < 0.001) Swelling markedly improved, The distance from the lower edge of the earlobe to the midpoint of the symphysis for cases vs control were 111.49 ± 8.1 mm and 115.39 ± 9.9 mm, respectively (P < 0.001). Reported pain, showed no statistical significance difference.ConclusionSerratiopeptidase resulted in better inflammation improvement than placebo over 5 days. Further studies are warranted to assess longer-term and clinical outcomes, as well as safety.Clinical relevanceSerratiopeptidase administered postoperatively helps in improving trismus and swelling after removal of impacted lower third molars.Trial registration The study was registered in ClinicalTrial.gov under the number NCT02493179. Registered 1st of June 2015, https://clinicaltrials.gov/ct2/results?cond=serratiopeptidase.

【 授权许可】

CC BY