Effect Of Electroacupuncture With Local Anesthesia On Pain And Stress During Impacted Lower Third Molar Surgery

Inclusion Criteria: * Adults aged 25-35 years * ASA physical status I-II * Indication for ambulatory surgical extraction of an impacted lower third molar * Ability to understand the study procedures and provide written informed consent * Willingness to comply with study procedures, including saliva sampling protocol * Ability to abstain from food, beverages, and oral hygiene procedures for at least 1 hour prior to saliva sampling Exclusion Criteria: * Pregnancy * Epilepsy * Presence of a pacemaker or other active electronic implant * Coagulation disorders * Active infection at the site of acupuncture * Systemic inflammatory diseases * Oral inflammatory conditions (e.g., gingivitis or periodontitis) * Hyposalivation * Chronic opioid use * Psychiatric conditions that may affect pain or stress assessment * Use of nonsteroidal anti-inflammatory drugs, corticosteroids, or antibiotics within 7 days prior to the procedure * Menstruation at the time of saliva sampling * Inability or unwillingness to comply with study procedures