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Study aim
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The effect of bromelain on pain, swelling and trismus after surgery in orthognathic patients
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Design
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Clinical trial with a control group, with parallel groups, three blinded, randomized, phase 3 on 20 patients. For randomization, the computer software will be "Random Allocation Software".
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Settings and conduct
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therapeutic goal; in Mashhad Dental Faculty and Mother Hospital; Patients are divided into two groups of 10. After surgery, both groups of patients will be given 8 mg dexamethasone every 8 hours for three days, cefazolin 1 mg every 6 hours for three days, and Apotel every 6 hours for 3 days, in addition to the intervention group Bromelain 200 mg daily and placebo (capsules containing lactose) will be given to the control group in 3 meals for up to 8 days. Study variables including pain, trismus, swelling will be investigated at different times. Only the pharmacist knows the type of pills (placebo/bromelain) based on coding.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Diagnosis of the Disease by an Orthodontist and Surgery by a Maxillofacial Surgeon؛ Willingness to Cooperate؛ Not taking supplements for at least one month before. Exclusion criteria: Suffering from chronic diseases such as diabetes mellitus, kidney failure, liver disorder and cancer؛ Suffering from other autoimmune and inflammatory diseases؛ Suffering from hormonal disorders, thyroid disorders؛ Alcohol consumption and hookah use؛ Smoking and being exposed to secondhand smoke chronically؛ Unwillingness to participate in the study.
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Intervention groups
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Intervention group: consumption of 200 mg bromelain supplement capsule powder three times a day for 8 days
Control group: consumption of powder inside the placebo capsule three times a day for 8 days
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Main outcome variables
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Evaluation of swelling, pain and mouth opening before and after the intervention