Using melatonin before wisdom tooth surgery to reduce pain and medication use

Preoperative Melatonin to Decrease Analgesia Usage After Third Molar Surgery

Phase 2 Interventional Montefiore Medical Center · NCT04791943

This study is testing if taking melatonin for three nights before wisdom tooth surgery can help reduce pain and the need for pain medication after the procedure.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment60 (estimated)
Ages18 Years to 35 Years
SexAll
SponsorMontefiore Medical Center Academic / other
Locations1 site (Bronx, New York)
Trial IDNCT04791943 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of melatonin administered for three nights prior to wisdom tooth extraction in reducing postoperative pain and the need for pain medication. Participants will be randomly assigned to receive either melatonin or a placebo, and various factors such as pre-operative anxiety, sleep quality, and post-operative pain levels will be measured. The goal is to determine if melatonin can improve recovery outcomes for patients undergoing this common dental procedure.

Who should consider this trial

Good fit: Ideal candidates are healthy adults aged 18-35 with impacted third molars requiring surgical extraction.

Not a fit: Patients with allergies to melatonin or opioids, sleep disorders, or those with a history of substance abuse may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to reduced pain and lower reliance on narcotics after wisdom tooth surgery.

How similar studies have performed: While the use of melatonin for pain management is being explored, this specific application in dental surgery is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subject must have 3-4 partial or full bony impacted third molars requiring surgical extraction under IV sedation
* Ages 18-35
* ASA Class I or II
* English or Spanish speaking patients
* Capacity to sign informed consent

Exclusion Criteria:

* Allergies to melatonin, opioids, or other OTC pain medications
* Anyone currently taking melatonin for any reason
* Cases under local anesthesia
* ASA class III or higher
* Sleep disorder (insomnia/narcolepsy)
* Current or past history of substance abuse
* Chronic pain
* Language/communication barrier
* Psychiatric disease/ Mental impairment
* Current or past use of psychotropic drugs
* Pregnancy
* Renal or hepatic impairment
* BMI \>35

Where this trial is running

Bronx, New York

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 Pain, PostoperativeNarcotic Use
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.