Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars.
T H Al-Khateeb, Y Nusair
https://pubmed.ncbi.nlm.nih.gov/18272344/Actively Recruiting
Led by Oman Medical Speciality Board · Updated on 2026-01-15
100
Participants Needed
1
Research Sites
8 weeks
Total Duration
This research investigates the effects of an Aescin-based herbal extract called Reparil compared with Ibuprofen in managing symptoms after surgical removal of impacted lower wisdom teeth. The study focuses on people aged 18 to 40 who undergo this common oral surgery, aiming to find out if the herbal treatment offers pain relief and reduces swelling and limited mouth opening with fewer side effects than traditional nonsteroidal anti-inflammatory drugs NSAIDs. Participants will be randomly assigned to receive either Reparil tablets containing 20 mg Aescin or 400 mg Ibuprofen tablets, each taken orally three times a day for five days after surgery. Both groups follow the same schedule, and a rescue pain medication is available if needed. Assessments will occur before surgery and on days 2 and 7 afterward to measure pain, facial swelling using 3D scanning, and mouth opening using a digital caliper. During the study, participants will have their pain levels, facial swelling, and jaw movement tracked at specific intervals. Researchers will record any adverse effects and analyze data to compare the treatments impacts. The total involvement includes the surgery and follow-up visits on days 2 and 7, helping to evaluate the herbal extract as a potential alternative to Ibuprofen for managing post-surgical symptoms.
CONDITIONS
Aescin-Based Herbal Extract (Reparil) for Postoperative Sequelae After Mandibular Third Molar Surgery
S
Suhail H AlSamari, BDS, MFD
V
Vidya Shetty, BDS, MDS
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Oman Medical Speciality Board
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 5 days
Participants undergo surgical extraction of an impacted mandibular third molar and receive either Aescin or Ibuprofen orally three times daily for five consecutive days to manage postoperative pain, swelling, and trismus.
1 baseline visit (preoperative) and 2 postoperative visits on Day 2 and Day 7
Duration - Up to Day 7 post-surgery
Participants are assessed for postoperative pain, facial swelling, mouth opening, and any adverse effects up to 7 days after surgery.
Assessments occur during the postoperative Day 2 and Day 7 visits
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Lead Sponsor