Effect of enzyme therapy on pain and recovery after wisdom tooth surgery

Evaluation of the Effect of Systemic Proteolytic Enzyme Therapy on Postoperative Inflammatory Response and Quality of Life After Surgical Extraction of Impacted Mandibular Third Molars

Phase 3 Interventional University of Baghdad · NCT05681312

This study is testing if a new enzyme treatment can help people recover faster and feel less pain after having their wisdom teeth removed.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment55 (estimated)
Ages18 Years to 40 Years
SexAll
SponsorUniversity of Baghdad Academic / other
Drugs / interventionschemotherapy
Locations1 site (Baghdad)
Trial IDNCT05681312 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the impact of systemic proteolytic enzyme therapy (Tibrolin) on postoperative pain, swelling, trismus, and quality of life in patients undergoing surgical extraction of impacted mandibular third molars. Patients are randomly assigned to receive either the enzyme therapy or standard care, with outcomes measured on the day of surgery, and on the third and seventh days post-surgery. The study aims to determine if enzyme therapy can improve recovery and reduce inflammation compared to a control group.

Who should consider this trial

Good fit: Ideal candidates are healthy adults over 18 years old with impacted mandibular third molars.

Not a fit: Patients with uncontrolled systemic diseases or those with a history of head and neck chemotherapy or radiotherapy may not benefit from this study.

Why it matters

Potential benefit: If successful, this therapy could significantly reduce postoperative pain and improve recovery quality for patients undergoing wisdom tooth extraction.

How similar studies have performed: Other studies have shown promising results with systemic enzyme therapies in reducing postoperative inflammation, suggesting potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Healthy patients over 18 years old of either gender.
* Patients who have impacted mandibular third molar.
* Ability to tolerate surgical procedure.
* Pell and Gregory's classification (Class I and class II, position A and B).

Exclusion Criteria:

* Patients with uncontrolled systemic diseases.
* Patients with history of chemotherapy or radiotherapy therapy to the head and neck region.
* Acute infection at the surgical site at time of operation.
* The presence of cysts or tumors associated with the impacted teeth.
* Pell and Gregory's classification (class III Position C)

Where this trial is running

Baghdad

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 Post Operative Painsystemic proteolytic enzymepaintrismusswellingtibrolin
Last reviewed 2026-06-10 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.