The Effect of Oral Ketorolac Compared to Ibuprofen on Edema, Trismus, and Pain After Mandibular Third Molar Surgery

Background: Latent third molar extraction is the most common surgery in dentistry. Common complications of this surgery include pain, swelling, and trismus. To control these side effects, several drugs have been developed and evaluated in various studies. However, the present study is the first one to compare the effects of ibuprofen and ketorolac on pain, swelling, and trismus after molar surgery. Methods: This study was a split-mouth clinical trial. To conduct the trial, 20 candidates were selected from among patients referring to Surgery Department of the Dentistry School at Yazd Shahid Sadoughi University of Medical Sciences for mandibular third molar removal surgery. The patients were divided into two groups after the surgery: one group received ibuprofen, and the other one received ketorolac. Pain, swelling, and trismus were evaluated prior to the surgical procedure, 24 hours later, and one week after the surgery. Data were analyzed by SPSS software version 22 by using Wilcoxon statistical tests and paired t test. Results: Ibuprofen and ketorolac had similar effects on pain relief (P value>0.05). Studying the two groups produced similar results regarding improvement in mouth opening (P value>0.05). Improvement pace of the postoperative swelling was significantly faster in the group receiving ketorolac compared to the one receiving ibuprofen (P value <0.05). Conclusions: It was concluded that ibuprofen and ketorolac had positive and almost similar effects on pain control, edema, and trismus after molar surgery. However, ketorolac was more effective in controlling edema after surgery.

Download Full-text

The Effect of Platelet Rich Plasma on Tissue Healing after Mandibular Third Molar Surgery

Journal of Isfahan Dental School ◽

10.18502/ijds.v17i2.6880 ◽

2021 ◽

Author(s):

Negin Karimi ◽

Behnam Khorrami ◽

Reza Nezhadnasrollah ◽

Yamin Haghani

Keyword(s):

Soft Tissue ◽

Third Molar ◽

Test Group ◽

Third Molar Surgery ◽

P Value ◽

Soft Tissue Healing ◽

Tissue Healing ◽

Mandibular Third Molar ◽

The Mean ◽

Mandibular Third Molar Surgery

Introduction: This study aimed, effect of platelet-rich plasma (PRP) on soft tissue healing after mandibular third molar surgery. Materials & Methods: In this semi-blinded clinical trial study,30 selected patients requiring surgical extraction of soft tissue impacted mandibular third molar participated from cases referred to the Department of Surgery, Faculty of Dentistry, Isfahan Azad University 2017.Patients divided into both test and control groups. PRP was placed in the extracted socket of the test group, whereas the control group had no PRP. Arzhangian standard kit utilized for preparation of PRP. The outcome variables in this study were pain, swelling, inter incisal mouth opening, wound dehiscence, dry socket, bleeding, and tissue color. The collected data analyzed using statistical tests followed independent T-test, Mann-Whitney, and fisher (p value < 0.05). Results: The mean postoperative pain score (Visual Analog Scale) lowered for the test group after several wound dehiscence on the third and seventh days after surgery which was statistically significant (p value < 0.001). Although the mean bleeding time on the third day after surgery decreased in the test group, this difference was not statistically significant (p value = 0.59). There were no statistically significant between both groups for The dry socket incidence on the seventh day and the mean of inter incisal mouth opening in the third and seventh days after surgery as well. Conclusion: The usage of topical PRP has beneficial advantages on soft tissue healing after mandibular third molar surgery. Unlike the control group, The PRP group provided reduced pain and better soft tissue healing.

Download Full-text

Evaluation of efficacy of submucosal tramadol after mandibular third molar surgery: a prospective pilot study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195009 ◽

2019 ◽

Vol 7 (11) ◽

pp. 4320

Author(s):

Karan V. Panchal ◽

Navin S. Shah ◽

Pratik Agrawal ◽

Parshwa N. Shah

Keyword(s):

Pilot Study ◽

Maxillofacial Surgery ◽

Third Molar ◽

Mouth Opening ◽

Analgesic Efficacy ◽

Third Molar Surgery ◽

Oral And Maxillofacial Surgery ◽

Third Molar Extraction ◽

Mandibular Third Molar ◽

Surgical Extraction

Background: Surgical extraction of mandibular third molar is one of the most commonly performed procedure in oral and maxillofacial surgery. Its removal causes swelling, trismus, and moderate to severe pain which can be treated with various NSAID’s drugs, which have numerous side effects and gastric disturbances. In order to bypass such disturbances, Tramadol may be considered as an alternative for such patients. The aim of the study was to evaluate analgesic efficacy of submucosal tramadol and its implication over swelling and mouth opening after mandibular third molar surgery.Methods: This is a prospective study where in after post-surgical extraction of mandibular third molar, efficacy of submucosal injection of tramadol is evaluated in terms of pain and its implication over swelling and mouth opening.Results: The present study suggested there was statistically significant VAS score for pain after submucosally injecting tramadol post-surgical extraction of mandibular third molar in the following visits- 4hourly, 8hourly and 24hourly. In respect to swelling, statistically significant values was noted during 24hr and 72 h our post extraction. Also in case of mouth opening, statistically significant values were found 24 hourly.Conclusions: The present pilot study concluded that submucosal tramadol post mandibular third molar extraction has been effective in reducing pain, limiting post-extraction swelling and less impacting mouth opening by inducing less complications thereby bypassing gastric disturbances.

Download Full-text

Nyer Zet-Ractor – Innovative Multifunctional Concept of Retraction

Journal of Dentistry and Oral Sciences ◽

10.37191/mapsci-2582-3736-1(1)-005 ◽

2019 ◽

Author(s):

Nyer Firdose

Keyword(s):

Third Molar ◽

Third Molar Surgery ◽

Third Molar Extraction ◽

Post Operative Pain ◽

Mandibular Third Molar ◽

The Common ◽

Mandibular Third Molar Surgery ◽

The Impact ◽

Molar Extraction

Post-operative pain and swelling is one of the common complications following mandibular third molar surgery leading to very disturbing days immediately following third molar extraction. On considering the impact of such post-operative sequelae on the patient’s quality of life, it is necessary to exercise preventive measures to minimize the occurrence of such complications / untoward events. Although many retractors are already in application for retraction of tissues during the third molar extraction, this manuscript describes an innovative multifunctional concept “Nyer Zet-ractor” designed for retraction and isolation without limiting the accessibility to the surgical area in mandibular third molar surgery. The “Nyer Zet-ractor” described in this manuscript is an innovative device which provides the advantages like clear access, continuous visibility and excellent isolation of the surgical site unlike conventional retractors with minimal retractive forces thereby reducing post-operative pain and swelling. Nyer Zet-ractor implements a multifunctional concept of retraction making it an efficient, easy to use, and exerts a known and finite amount of force, thereby avoiding tissue damage.

Download Full-text

Comparison of twin mix and revamped twin mix in mandibular third molar surgery - A randomised controlled double blinded study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3231 ◽

2020 ◽

Vol 11 (4) ◽

pp. 5821-5827

Author(s):

Dyna Albert ◽

Sudarssan Subramaniam Gouthaman ◽

Muthusekhar M R

Keyword(s):

Third Molar ◽

Mouth Opening ◽

Third Molar Surgery ◽

Mandibular Third Molar ◽

Significant Difference ◽

Facial Swelling ◽

Blinded Study ◽

Mandibular Third Molar Surgery ◽

Randomised Controlled ◽

Double Blinded

Mandibular third molar surgery is one of the most common minor oral surgical procedures performed by oral and maxillofacial surgeons. It is vital to provide the most comfortable postoperative phase to the patient and for this reason dexamethasone, a corticosteroid, is popularly used in various routes. The intraspace injection of dexamethasone mixed with 2% lignocaine and 4% articaine named, Twin Mix and Modified Twin Mix respectively is gaining increasing popularity. 0.5% Centbucridine is a safe alternative to 2% lignocaine with more cardio stable properties. In this study we aimed to evaluate the comparability of Twin Mix(TM) and Revamped Twin Mix(RTM) (mixture of dexamethasone and centbucridine) with respect to its anesthetic properties and its effectiveness in managing postoperative sequelae following mandibular third molar surgery. For this, a randomised controlled double blinded study was conducted among patients reporting to the Out Patient Department of a dental college. The sample size of the population studied was 32, 16 in Group A (RTM) and 16 in Group B (TM). The primary outcomes measured were facial swelling and mouth opening on postoperative day(POD) 1, 3 and 7. The secondary outcomes were VAS score during the surgical procedure, duration and latency of anesthesia. The data were analysed descriptively and using Student’s t Test. Representations were given in graphical and tabular forms. The mean postoperative mouth opening and facial swelling on POD 1, 3 and 7 were comparable and did not show any statistically significant difference. Similarly, the VAS score during procedure, latency and duration of anesthesia were comparable with no statistically significant difference. In conclusion, RTM can be used as an alternative to TM due to its comparable properties.

Download Full-text