A Comparative Evaluation of the Efficacy of Local Active Oxygen Technology (Blue-M Gel?) in Wound Healing after Bilateral Surgical Disimpaction of Mandibular Third Molars - A Clinical Split Mouth Study

Dr. I. Venkata Krishna, Dr. G. V. Reddy, Dr. N. V. S. Sekhar Reddy, Dr. D. Chandana Sowjanya, Dr. M. Bhargavi

Abstract: Introduction: One of the most frequent oral surgical procedures performed by dental surgeons worldwide is the surgical extraction of impacted mandibular third molars. This procedure must be performed precisely to prevent any acute, delayed, or surgical complications. In order to promote better soft tissue healing and lessen postoperative complications like pain and swelling, the use of commercially available BLUE M? gel (high level oxygen releasing formula) has been recommended recently in surgical extraction wound sites. Aims and Objectives: To assess the feasibility and efficacy of Blue? m oral gel local Active oxygen technology in reducing postoperative complications such as pain and swelling after surgical extraction of impacted lower third molar. Materials and Methods: A prospective clinical split mouth study was conducted in a study sample involving 20 patients (40 impacted teeth split arch) with bilaterally impacted mandibular third molars. The surgical procedure was performed by a single surgeon bilaterally in the same appointment. Blue m oral gel was placed only into the post extraction socket (study site) with the help of gel applicator and after thorough irrigation both study site and control site sutured with 3 - 0 black silk. All the patients were assessed for post operative pain using 10 cm visual analogue scale (VAS) 4 hours post operatively and also on 2nd and 7th postoperative day. Post operative edema was assessed pre and postoperatively (2nd and 7th day) using physical method on a graduated measuring tape. The Post operative soft tissue healing response was noted using Landry Healing Index on 7th post operative day. Results: Out of 20 study subjects, 10 (50%) were males and 10 (50%) were females. The mean age for overall sample was 30.1 +/ - 5.7 years. The data was analysed by Statistical Package for Social Sciences (SPSS) to find statistical significance. P value less than 0.05 (p<0.05) considered statistically significant at 95% confidence interval. The results showed that there was statistically significant difference in relation to VAS scores taken at different time intervals on test side than control side. P value revealed that there was evidence of significant statistical difference with respect to LC - GO and TR - A measurements between case side (P value - 0.00014) and control side (P value - 0.0025) on 2nd post - operative day. Also, the post operative soft tissue healing response was very good with incorporation of active oxygen (blue? - m) gel within extraction sockets (study site) of impacted third molars. Conclusion: The present study concludes that incorporation of active oxygen (blue? - m) gel within extraction sockets of impacted mandibular third molars proved to be beneficial for patients, yielding a quicker postoperative recovery with fewer complications such as postoperative swelling and edema, pain, and trismus, better overall postoperative results in terms of faster soft tissue healing.

Keywords: Pain, Swelling, Trismus, Third molar surgery, Blue? m oral gel, TR - A (Center of tragus to angle of mouth), LC - GO (Lateral canthus of eye to gonium)

How to Cite?: Dr. I. Venkata Krishna, Dr. G. V. Reddy, Dr. N. V. S. Sekhar Reddy, Dr. D. Chandana Sowjanya, Dr. M. Bhargavi, "A Comparative Evaluation of the Efficacy of Local Active Oxygen Technology (Blue-M Gel?) in Wound Healing after Bilateral Surgical Disimpaction of Mandibular Third Molars - A Clinical Split Mouth Study", Volume 14 Issue 6, June 2025, International Journal of Science and Research (IJSR), Pages: 476-481, https://www.ijsr.net/getabstract.php?paperid=SR25604122551, DOI: https://dx.doi.org/10.21275/SR25604122551