Investigating the Effect of ORA-AID Mucosal Adhesive on the Patient's Pain Level after Tooth Extraction

Mohsen  Barzegar; Mojtaba  Soltanianzadeh; Mohammad Amin  Yektaie; Hossein  Aghily

doi:10.18502/ssu.v33i3.18840

Mohsen Barzegar Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mojtaba Soltanianzadeh Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad Amin Yektaie Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Hossein Aghily Department of Orthodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

DOI: https://doi.org/10.18502/ssu.v33i3.18840

Keywords: ORA-AID Dressing, Oral Wound Dressing, Tooth Extraction, Post-Extraction Pain, Mucoadhesive Dressing, Adolescents, Clinical Trial, Visual Analog Scale (VAS).

Abstract

Introduction: ORA-AID adhesive is recognized as an effective dressing for dental sockets in adults, yet its effectiveness in adolescents has not been explored. This study compared ORA-AID with conventional dressings in the patients younger than 18.

Methods: A double-blind clinical trial was conducted involving 29 patients. On one side, a tooth was extracted and dressed using a standard method. After two weeks, the tooth on the other opposite side was extracted, and the ORA-AID adhesive was utilized. Patients reported their pain levels using the Visual Analog Scale (VAS) at 5, 12, 24, and 48 hours following the extraction. Repeated Measures ANOVA was employed for comparisons between the two methods.

Results: Pain was significantly lower with ORA-AID, except for the first 5 hours (p=0.669), and remained and remained so for up to 48 hours after extraction (all p<0.001). Increased pain levels were observed in older patients (24 and 48 hours) as well as in individuals with greater dental plaque (5 and 12 hours). The highest decrease in pain with ORA-AID in comparison to conventional dressing was observed at 24 hours after extraction.

Conclusion: ORA-AID significantly reduces post-extraction pain when compared to conventional dressings, except for the initial 5 hours. Therefore, ORA-AID may reserve as an appropriate alternative for routine dental dressings in adolescents.