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Preoperative Melatonin to Decrease Analgesia Usage After Third Molar Surgery

Recruiting
18 - 35 years of age
Both
Phase 2

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Overview

The purpose of the study is to assess if melatonin given for three nights before wisdom tooth surgery decreases post-operative pain and pain medication consumption. Patients will receive either melatonin or a placebo for three nights prior to surgery and we will measure pre-operative anxiety, preoperative sleep quality, post op pain medication consumption, post op pain scores, and blood values.

Eligibility

Inclusion Criteria:

  • Subject must have 3-4 partial or full bony impacted third molars requiring surgical extraction under IV sedation
  • Ages 18-35
  • ASA Class I or II
  • English or Spanish speaking patients
  • Capacity to sign informed consent

Exclusion Criteria:

  • Allergies to melatonin, opioids, or other OTC pain medications
  • Anyone currently taking melatonin for any reason
  • Cases under local anesthesia
  • ASA class III or higher
  • Sleep disorder (insomnia/narcolepsy)
  • Current or past history of substance abuse
  • Chronic pain
  • Language/communication barrier
  • Psychiatric disease/ Mental impairment
  • Current or past use of psychotropic drugs
  • Pregnancy
  • Renal or hepatic impairment
  • BMI >35

Study details

Pain, Postoperative, Narcotic Use

NCT04791943

Montefiore Medical Center

16 June 2024

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