Evidence map›Paper›PMID 41361069›Full record

Trial reportClinical oral investigations2025

Effect of ozone therapy on post-operative pain following mandibular third molar surgical extraction: a split-mouth randomized clinical trial.

Luca Guaschino, Alessandro Vanzanelli, Piermarco Babando, Andrea Ricotti, Guglielmo Amedeo Ramieri, Andrea Roccuzzo, Paolo Appendino

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05949476 (Influence of Ozone Therapy on Postoperative Pain Relief in the Surgical Treatment of Lower Third Molars), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05949476 naunknown statusnot on this map

Influence of Ozone Therapy on Postoperative Pain Relief in the Surgical Treatment of Lower Third Molars: Randomized Controlled Trial

TypeinterventionalSponsorAzienda Ospedaliera Ordine Mauriziano di TorinoRan2022 to 2023Enrolled55ConditionsExtraction of the Lower Third MolarsArmsozone therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Luca Guaschino *Department of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Turin, Italy.
Alessandro Vanzanelli *Department of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Turin, Italy.
Piermarco BabandoDepartment of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Turin, Italy.
Andrea RicottiClinical Trial Unit, Mauriziano Umberto I Hospital, Turin, Italy.
Guglielmo Amedeo RamieriDivision of Maxillofacial Surgery, University of Torino, Torino, Italy.
Andrea Roccuzzo *Perio-Implant Innovation Center, Institute for Integrated Oral, Craniofacial and Sensory Research - National Clinical Research Center of Stomatology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 4F Building 1, 115 Jinzun Road, Pudong Research Campus, Shanghai, 200115, China. andrea.roccuzzo@unibe.ch.
Paolo Appendino *Department of Dentistry and Oral Surgery, Mauriziano Umberto I Hospital, Turin, Italy. pappendino@mauriziano.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the efficacy of ozone therapy on pain reduction, trisma and number of analgesic tablets taken following surgical removal of impacted mandibular third molar.

methodsA split-mouth randomized clinical trial was conducted in 54 patients in need of bilateral impacted mandibular third molars (Pell-Gregory class II-B) extraction. Test sites were treated with adjunctive ozone therapy to the surgical extraction, while controls underwent surgical intervention only (time between surgeries: 3 weeks). Study primary outcome measure was the difference in perceived pain recorded using a Numerical Rating Scale (NRS) at 7 days after surgery. In addition, functional limitation in mouth opening (mm), number of analgesic tablets taken within one week after surgery as well as the patient's perceived quality of life (Oral Health Impact Profile (OHIP-14) were evaluated.

resultsFifty patients (20 males and 30 females; median age: 21 years; all non-smokers) completed the study. Mean reported perceived pain decrease from 5.06 to 0.58 (test group) and from 5.62 to 1.08 (control group) between day 1 and 7. No statistically significant differences were detected between the two groups at any time points (p > 0.05). At day 7, mean mouth opening value was 40.8 vs. 36.6 mm in test and control group respectively (mean difference: 4.24 mm; p < 0.001; 95% CI: 6.55-1.93). The same trend was detected for the of number of analgesic tablets taken (median: 4 vs. 7; p = 0.01). Finally, OHIP-14 values did not differ between groups (p > 0.05).

conclusionOzone therapy had a beneficial clinical effect in terms of mouth opening and in the number of analgesic tablets intake at 7 days after surgical removal of impacted mandibular third molar, despite the lack of adjunctive benefit on patients perceived pain reduction. CLINICAL RELEVANCE: The clinical use of ozone therapy as adjunct to surgical removal of impacted mandibular third molar might be considered in light of the promising positive reported results in terms of mouth opening reduction and analgesic intake. CLINICAL TRIAL REGISTRATION NUMBER: NCT05949476.

Indexed as

Molar, ThirdOzonePostoperative PainTooth ExtractionTooth, ImpactedAdultAnalgesicsFemaleHumansMaleMandiblePain MeasurementQuality of LifeTreatment OutcomeYoung AdultAnalgesicsOzoneClinical trialMandibular third molarOral surgeryOzone therapyPainQuality of lifeThird molar extractionTrisma

Identifiers

PMID41361069
PMCPMC12686066

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.