[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100654687":3},{"organization":4,"outcomesModule":7,"designInfo":19,"detailedDescription":28,"studyPopulation":18,"armGroups":29,"interventions":40,"overallOfficials":45,"centralContacts":50,"locations":55,"responsibleParty":72,"collaborators":18,"id":74,"slug":75,"hasResults":76,"nctId":77,"briefTitle":78,"officialTitle":79,"acronym":18,"eligibilityCriteria":80,"healthyVolunteers":81,"sex":82,"minAge":83,"maxAge":84,"enrollmentInfo":85,"targetDuration":18,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":57,"whyStopped":18,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":102,"completionDateStruct":104,"leadSponsor":106,"locationsCount":107},{"fullName":5,"class":6},"Delta University for Science and Technology","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":18},[9],{"measure":10,"description":11,"timeFrame":12},"Salivary Cortisol Level (in ng\u002FmL)","Amount of salivary cortisol found in patients' saliva is considered directly proportional to degree of psychological stress.","45 minutes before surgery, and 30 minutes after surgery.",[14],{"measure":15,"description":16,"timeFrame":17},"Duration of Surgery (in minutes)","Time taken for each surgery will be recorded starting from flap incision to end of last closing suture knot.","Same time of surgery",null,{"allocation":20,"interventionModel":21,"interventionModelDescription":18,"primaryPurpose":22,"observationalModel":18,"timePerspective":18,"maskingInfo":23},"RANDOMIZED","PARALLEL","SCREENING",{"masking":24,"maskingDescription":25,"whoMasked":26},"SINGLE","Both the participant and the surgeon are not blinded to the study predictor variable as they both witness the presurgical illustration (introduced to the study group). The laboratory chemist that will analyze the salivary cortisol is blinded to both arms. This means that the chemist does not know whether the saliva sample is drawn from a patient in the control or the study groups.",[27],"INVESTIGATOR","Psychological stress is a common factor accompanied with surgeries in most situations, and mandibular third molar (Wisdom tooth (WT)) surgery couldn't be an exception. Saliva was proven as a valid carrier that could be used to track the levels of cortisol representing the degree of patient's provoked stress. Patient orientation and presurgical diagrammatic illustration of the steps of WT surgery are very important aspects for patient preparation, yet, may be potential stress triggers as well.\n\nThis study aims to figure out if patients are exposed to illustrations that shows the mandibular third molar surgery before having the surgery would aggravate their stress or may relieve it considering orientation and relative absence of fear of unknown.",[30,34],{"label":31,"type":32,"description":33,"interventionNames":18},"Control Group (No Presurgical Illustration)","NO_INTERVENTION","Patients in this group will have their mandibular third molar surgery done without having prior exposure to presurgical diagrammatic illustration for their surgery.",{"label":35,"type":36,"description":37,"interventionNames":38},"Study Group (Presurgical Illustration)","ACTIVE_COMPARATOR","Patients in this group will have their mandibular third molar surgery done after having prior exposure to presurgical diagrammatic illustration for their surgery.",[39],"Other: Presurgical Diagrammatic Illustration for Mandibular Third Molar Surgery",[41],{"type":6,"name":42,"description":43,"armGroupLabels":44,"otherNames":18},"Presurgical Diagrammatic Illustration for Mandibular Third Molar Surgery","The handling surgeon will show the patient (in the study group) a diagrammatic illustration for surgical steps of mandibular third molar extraction. This diagrammatic illustration includes flap raising, bone guttering, coronal and radicular tooth sectioning, and flap closure.",[35],[46],{"name":47,"affiliation":48,"role":49},"Mohammad Abdelhamid, PhD","Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Delta University for Science and Technology","PRINCIPAL_INVESTIGATOR",[51],{"name":47,"role":52,"phone":53,"phoneExt":18,"email":54},"CONTACT","00201002285659","hamidsurgeon@gmail.com",[56],{"facility":48,"status":57,"city":58,"state":59,"zip":60,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"RECRUITING","Al Mansurah","Addakahlyia","35516","Egypt","EG",{"type":64,"coordinates":65},"Point",[66,67],31.38069,31.03637,{"lat":67,"lon":66},[70,71],{"name":47,"role":52,"phone":53,"phoneExt":18,"email":54},{"name":47,"role":49,"phone":18,"phoneExt":18,"email":18},{"type":73,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR","100654687","role-of-presurgical-illustration-on-patients-psychological-stress-monitored-by-salivary-cortisol-in-mandibular-third-molar-surgery-100654687",false,"NCT07803510","Presurgical Illustration and Psychological Stress in Mandibular Third Molar Surgery","Role of Presurgical Illustration on Patients' Psychological Stress Monitored by Salivary Cortisol in Mandibular Third Molar Surgery","Inclusion Criteria:\n\n* Healthy patients (American Society of Anesthesiologists Class I),\n* Patients demanding extraction of their mandibular third molar,\n* Mandibular third molars requiring flap raising, bone removal, coronal and radicular sectioning (Modified Parant Scale Class IV),\n* Patients accepting their saliva sampling prior to and after surgery.\n\nExclusion Criteria:\n\n* Acutely painful mandibular third molars on clinical examination,\n* Pericoronal and\u002For active periapical and\u002For active periodontal pathologies on clinical and radiographic examinations,\n* Patients using steroids,\n* Psychiatric patients,\n* Smokers,\n* Pregnant patients, and\u002For those observing their menstruation,\n* Patients with conditions of altered cortisol secretion (such as Addison's disease, Cushing's syndrome, and congenital adrenal hyperplasia),\n* Patients with altered secretion of saliva (such as due to using atropine, calcium channel blockers, antidepressants, antihistamines, Sjogren's syndrome, and radiotherapy).\n* Patients who are overtly anxious about dental treatment (scoring \\>19 on the Modified Dental Anxiety Scale).",true,"ALL","18 Years","32 Years",{"count":86,"type":87},80,"ESTIMATED","INTERVENTIONAL",[90],"NA","The aim of this clinical trial is to evaluate the influence of presurgical patient's diagrammatic illustration of mandibular third molar (Wisdom tooth) surgery on degrees of psychological stress.",[93],"Psychological Stress",[93,95,96,97],"Emotional Stress","Salivary Cortisol","Third Molar Extraction","2026-09-04",{"date":100,"type":101},"2026-09-09","ACTUAL",{"date":103,"type":101},"2026-09-05",{"date":105,"type":87},"2026-11",{"name":5,"class":6},1]