Comparing Dexamethasone and Trypsin-Chymotrypsin for Reducing Pain After Wisdom Tooth Surgery

Comparison of Clinical Efficacy of Submucosal Dexamethasone and Oral Trypsin-chymotrypsin for Reduction of Postoperative Sequelae After Lower Third Molar Surgery

Not applicable Interventional B.P. Koirala Institute of Health Sciences · NCT06713733

This study is testing whether an injection of dexamethasone or a pill of trypsin-chymotrypsin can help people feel less pain and swelling after having their wisdom teeth removed.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years and up
SexAll
SponsorB.P. Koirala Institute of Health Sciences Academic / other
Locations1 site (Dharān, Koshi)
Trial IDNCT06713733 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of submucosal dexamethasone versus oral trypsin-chymotrypsin in reducing postoperative complications such as pain, swelling, and trismus following the surgical removal of impacted lower third molars. The research focuses on the inflammatory response triggered by the surgery and aims to determine which treatment better alleviates these common sequelae. Patients will be monitored for their recovery and the severity of symptoms post-surgery to assess the clinical efficacy of each intervention.

Who should consider this trial

Good fit: Ideal candidates are clinically healthy individuals requiring surgical removal of impacted mandibular third molars without any systemic diseases.

Not a fit: Patients with systemic diseases, allergies to the study drugs, or those currently on corticosteroids may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved postoperative care and reduced discomfort for patients undergoing wisdom tooth extraction.

How similar studies have performed: Previous studies have shown that corticosteroids can effectively reduce postoperative inflammation, suggesting potential success for this comparative approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Clinically healthy patients (ASA I) patient free of any systemic diseases that could interfere with wound healing or surgical operation.
* Free of any recent anti-inflammatory drug intake or being under long term treatment with medicaments that will obscure the assessment of the inflammatory response as NSAIDs, steroids, or antihistamines
* Free from allergy to the drugs used in the study
* Patients requiring surgical removal of the mandibular impacted third molar

Exclusion Criteria:

* Patients who are ASA II to ASA VI.
* Patients already on corticosteroids through any route.
* Patients with known allergy to any drugs.
* Pregnant and lactating females
* Patient not consenting to participate in the study

Where this trial is running

Dharān, Koshi

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Clinical Efficacy of Submucosal Dexamethasone and Oral Trypsin Chymotrypsin for Reduction of Postoperative Sequelae After Lower Third Molar SurgeryDexamethasoneTrypsin-chymotrypsin
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.