The influence of local controlled hypothermia on the postoperative period in the removal of wisdom teeth

Abstract

Local hypothermia is used to control inflammation, pain, edema, neuroprotection, and reduce muscle lockjaw. Despite the frequent use of cooling in neurology, cardiology, orthopedic rehabilitation, and physiotherapy, there is little scientific literature on the use of controlled hypothermia in oral and maxillofacial surgery. The aim of our study was to develop and substantiate the clinical effectiveness of the method of controlled cooling of the soft tissues of the parotid-masticatory and buccal areas as an anti-inflammatory physiotherapeutic agent in patients after surgery for the removal of dystopic wisdom teeth. For this, local controlled cooling of the masticatory-buccal and submandibular regions was carried out using the ViThermo apparatus in the study group, and cryotherapy was carried out in the control group. As a result, local controlled hypothermia of the soft tissues of the parotid-masticatory and buccal areas at an external constant temperature of the mask of 18 °С allows you to reach 32–34.2 °С of the soft tissues of the specified area and mucous membrane, which is safe and sufficient to provide anti-inflammatory action in the postoperative period with complex tooth extraction wisdom.