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Effect of Intrasocket Application of Manuka Honey on Postsurgical Pain of Impacted Mandibular Third Molars Surgery: Split-Mouth Randomized Controlled Trial

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Abstract

Background and Purpose

Sufficient evidence exists recommending the use of honey in the management of wounds. Studies revealed that the healing effect of honey could be classified by its antibacterial and anti-inflammatory properties of its components. Since surgical extraction of impacted molars is one of the most common operations in the oral cavity and the postoperative pain disturbing the patient may reduce the quality of health service, this study aimed to assess the analgesic potential of Manuka honey application into the extraction socket of impacted mandibular third molars.

Methods

This randomized split-mouth controlled study included 33 patients undergoing impacted bilateral lower third molars surgery under local anesthesia (n = 66). Randomization was carried out by coin flipping. One of the two impacted third molars was assigned to treatment group (Manuka honey applied just before suturing), other side to control group (nothing applied). Postsurgical pain was evaluated using visual analogue scale (VAS) of faces 7 days after extraction. The total analgesic dose used was also evaluated.

Results

In treatment group, postoperative VAS scores were significantly lower compared to that in control group regarding first and second days postoperatively (P < 0.05). Total analgesic intake in the control group was significantly higher (P = 0.0001).

Conclusion

This study demonstrated that intrasocket application of Manuka honey after surgical extraction of impacted lower third molar is an effective method for reducing acute postsurgical pain.

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Funding

This study was funded by Damascus University, Syria (Grant Number: 749).

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Damascus University, Damascus, Syria

    Nuraldeen M. Al-Khanati & Yasser Al-Moudallal

Authors
  1. Nuraldeen M. Al-Khanati
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  2. Yasser Al-Moudallal
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Correspondence to Nuraldeen M. Al-Khanati.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of institutional and national research committee and with the 1964 Declaration of Helsinki and its amendments.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Al-Khanati, N.M., Al-Moudallal, Y. Effect of Intrasocket Application of Manuka Honey on Postsurgical Pain of Impacted Mandibular Third Molars Surgery: Split-Mouth Randomized Controlled Trial. J. Maxillofac. Oral Surg. 18, 147–152 (2019). https://doi.org/10.1007/s12663-018-1142-z

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  • DOI: https://doi.org/10.1007/s12663-018-1142-z

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