Comparative analgesic effects of single-dose preoperative administration of paracetamol (acetaminophen) 500 mg plus codeine 30 mg and ibuprofen 400 mg on pain after third molar surgery.

2021 ◽  
pp. 101611
Author(s):  
Gerardo La Monaca ◽  
Nicola Pranno ◽  
Susanna Annibali ◽  
Antonella Polimeni ◽  
Giorgio Pompa ◽  
...  
Keyword(s):  
Single Dose ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Analgesic Effects ◽  
Preoperative Administration

scholarly journals Comparative Assessment of Preoperative versus Postoperative Dexamethasone on Postoperative Complications following Lower Third Molar Surgical Extraction

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Hashem M. Al-Shamiri ◽  
Maha Shawky ◽  
Nermin Hassanein
Keyword(s):  
Postoperative Complications ◽  
Third Molar ◽  
Mouth Opening ◽  
Comparative Assessment ◽  
Third Molar Surgery ◽  
Oral Dexamethasone ◽  
Preoperative Administration ◽  
Surgical Extraction ◽  
The Face ◽  
Postoperative Administration

Aim. To evaluate the effect of preoperative versus postoperative administration of oral Dexamethasone on postoperative complications including pain, edema, and trismus following lower third molar surgery.Methods. 24 patients were divided into two equal groups receiving 8 mg Dexamethasone orally, one group one hour preoperatively and the other group immediately after surgery. Pain was measured using VAS, edema was measured using a graduated tape between 4 fixed points in the face, and the mouth opening was measured using a graduated sliding caliper.Results. In this study pain and trismus records were similar and statistically nonsignificant in both groups. The results had proven that preoperative administration was superior when compared to postoperative administration regarding edema (0.002).Conclusions. Preoperative oral administration of 8 mg Dexamethasone was superior to the postoperative administration of the same dose concerning edema after lower third molar surgery.

Does Single-Dose Preemptive Intravenous Ibuprofen Reduce Postoperative Pain After Third Molar Surgery? A Prospective, Randomized, Double-Blind Clinical Study

2019 ◽  
Vol 77 (10) ◽  
pp. 1990-1997 ◽  
Author(s):  
Ahmet Emin Demirbas ◽  
Mustafa Karakaya ◽  
Suheyb Bilge ◽  
Dilek Gunay Canpolat ◽  
Nükhet Kütük ◽  
...  
Keyword(s):  
Single Dose ◽  
Clinical Study ◽  
Postoperative Pain ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Double Blind ◽  
Intravenous Ibuprofen

scholarly journals Assessment of Pain, Swelling, Trismus Following Impacted Lower Third Molar Surgery, With Pre-Operative Single Dose Oral Dexamethasone: A Prospective, Randomized Double Blind Controlled Clinical Trial

2019 ◽  
pp. 155-163
Author(s):  
Rilna P ◽  
Sathyanarayanan R ◽  
Raghu K ◽  
Nithin Joseph J ◽  
Sankar K ◽  
...  
Keyword(s):  
Single Dose ◽  
Social Impact ◽  
Third Molar ◽  
Study Patient ◽  
Third Molar Surgery ◽  
Control Group ◽  
Oral Dexamethasone ◽  
Mandibular Molar ◽  
Surgical Extraction ◽  
Molar Teeth

Background: The removal of the lower impacted third molar teeth is always associated with varying degrees of inflammation that may have a social impact for the patients. To control these symptoms associated, it is necessary to provide an adequate anti-inflammatory therapy. The present study was undertaken to evaluate the therapeutic effect of pre-operative single dose of 8 mg oral Dexamethasone on pain, swelling, trismus following impacted lower third molar surgery. Materials and Methods: This study was conducted at MGPGI puducherry. Hundred patients with bilateral mandibular molar impaction were included in the study. Patient was allocated randomly as study and control group. Study group received 8 mg oral Dexamethasone one hour prior the surgical extraction. Patients with contraindication to the use of steroids were excluded from the study. Pain, facial contour and mouth opening were measured preoperatively and at 2nd and 5th days postoperatively.Results: On 2nd post-operative day, no statistically significant differences were noted in pain for both the groups. However, low pain scores were obtained with the use of Dexamethasone compare to placebo group. Dexamethasone group showed shows statistically significant reduction in swelling and trismus compared with the control group at all intervals.Conclusion: Dexamethasone 8 mg given orally one hour preoperatively is effective in minimizing pain, swelling, and trismus after removal of impacted lower third molar teeth.

scholarly journals A triple-blind randomized clinical trial of different associations between dexamethasone and non-steroids anti-inflammatories for preemptive action in third molar extractions

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gustavo Antonio Correa Momesso ◽  
Gustavo Augusto Grossi-Oliveira ◽  
William Phillip Pereira Silva ◽  
Renan Akira ◽  
Fernando Chiba ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pain Perception ◽  
Operative Time ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Analog Scale ◽  
Analgesic Effects ◽  
Lower Pain ◽  
Inflammatory Drugs

AbstractThe aim of this study is to evaluate the preemptive analgesic effects of dexamethasone (DEX) alone or combined with non-steroidal anti-inflammatory drugs (NSAIDs) in third molar surgeries. The subjects were divided into five groups (n = 20 teeth/group); subjects received only 8 mg of dexamethasone 1 h before the surgical procedure (DEX group), or in combination with etodolac (DEX + ETO), ketorolac (DEX + KET), ibuprofen (DEX + IBU), loxoprofen (DEX + LOX). Paracetamol 750 mg was provided as the number of rescue analgesics (NRA). Salivary PGE2 expression was measured preoperatively and at 48 h. Edema and Maximum mouth opening (MMO) were measured postoperatively at 48 h and 7 days. A visual analog scale (VAS) was performed postoperatively at 6, 12, 24, 48, 72 h, and 7 days. Salivary expression of PGE2 showed a decrease only for the DEX group. Edema and MMO and NRA consumption showed no significant differences among the groups (P > 0.05). The VAS showed a significantly lower pain perception at 6 h after the surgery for the DEX + ETO and DEX + KET groups (P < 0.05). The combination of DEX and NSAIDS should be considered for preemptive acute postsurgical pain management in third molar surgery. In some drug associations such as dexamethasone 8 mg + NSAIDS (ETO and KET) in the pre-operative time, only a few rescue analgesics are necessary.

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