1: Acupunct Electrother Res. 2000;25(2):109-15. Analgesic effects of acupuncture on pain after mandibular wisdom tooth extraction. Kitade T, Ohyabu H. Department of Basic Oriental Medicine, Meiji University of Oriental Medicine, Kyoto, Japan. We evaluated the analgesic effects of acupuncture on postoperative pain by comparing patients who underwent routine tooth extraction alone (control group) and those who underwent tooth extraction in combination with acupuncture (experimental group) by the random allocation method. As teeth easy to extract. requiring no gingival incision (grade A) or those difficult to extract, requiring gingival incision or bone cutting (grade B). As local anesthesia, 1.8 ml or 3.6 ml of 2% xylocaine was used. The LI.4, Hegu on both sides and ST.7, Xiaguan and ST.6, Jiache on the affected side were selected. Low frequency electrical acupuncture was performed. When acupuncture was used in combination with tooth extraction, 3 of 22 patients did not develop postoperative pain. In patients with wisdom teeth difficult to extract (grade B), acupuncture used in combination with local anesthesia decreased postoperative pain. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 10968648 [PubMed - indexed for MEDLINE] 2: Indian J Med Sci. 1990 Aug;44(8):205-8. Suprofen: its usefulness in the control of pain following surgical removal of impacted wisdom tooth. Awang MN, Boon LC, Nor GM. Department of Oral Surgery, Faculty of Dentistry, University of Malaya, Kuala Lumpur. The results of the present investigation have shown the usefulness of suprofen in the control of pain following surgical removal of impacted wisdom tooth. The regime of 200 mg. q.d.s. orally, was shown to be satisfactory in the control of postoperative pain. Pain was rapidly controlled by the 1st hour after ingestion and subsequently maintained at a low profile until is was completely abolished by the 8th hour of the postoperative period. PMID: 2262207 [PubMed - indexed for MEDLINE] 3: Proc Finn Dent Soc. 1990;86(1):23-7. Helium-neon laser therapy in the prevention of postoperative swelling and pain after wisdom tooth extraction. Taube S, Piironen J, Ylipaavalniemi P. Department of Oral Surgery, University of Helsinki, Finland. Seventeen patients with symmetrically embedded lower wisdom teeth were selected for this study, intended to evaluate the local effect of soft laser therapy on postoperative pain. Both lower third molars were removed in the same operation. The test side, chosen by lot, was treated using a helium-neon laser (632,8 nm, 8 mW, 50 Hz) for 2 minutes. The other side served as the untreated control side. Facial swelling was measured using a modification of the face-bow technique. Postoperative pain was estimated using a visual analogue scale (VAS). When it became apparent that conventional statistical analysis was revealing no difference in postoperative swelling and pain between the test and the control groups, the study was discontinued for ethical reasons. PMID: 2385579 [PubMed - indexed for MEDLINE] 4: Br J Oral Maxillofac Surg. 1988 Aug;26(4):284-91. A gnathodynanometer as an objective means of pain assessment following wisdom tooth removal. High AS, Macgregor AJ, Tomlinson GE, Salkouskis PM. Department of Dental Surgery, University of Leeds. There appears to be no information concerning changes in bite strength following wisdom tooth removal. A gnathodynanometer was constructed, calibrated and then tested on 20 normal subjects. Sixty five patients scheduled for third molar surgery were assessed by this device immediately before operation and on the seventh post-operative day. Post-operatively, they were asked to complete a McGill pain questionnaire (MPQ) and indicate their present pain on a numerical rating scale (NRS). Bite strength was reduced in all cases. The side which was most painful tended to have the larger reduction. The reduction in bite strength was found to have a highly significant correlation with the numerical rating scale and a significant correlation with the sensory descriptors of the McGill pain questionnaire. It would appear, therefore, that the gnathodynanometer holds promise as a research tool in oral surgery. PMID: 3166962 [PubMed - indexed for MEDLINE] 5: Shikai Tenbo. 1985 Jan;65(1):205-19. [McN-2783 for pain following the extraction of impacted wisdom tooth--clinical evaluation] [Article in Japanese] Kurita K, Sugiura M, Shimogo K, Hattori T, Kawai K. Publication Types: Clinical Trial PMID: 3883530 [PubMed - indexed for MEDLINE]