FacebookTwitterDiggGoogle BookmarksRedditLinkedinRSS FeedPinterest
Pin It

Postoperative Analgesia for Third Molar Surgery

A study by AM Tuzuner Oncul et al compared the postoperative analgesic effects of preoperative intravenous paracetamol, diclofenac sodium, and lornoxicam (nonsteroidal anti-inflammatory drugs) for patients undergoing surgical removal of impacted third molars. The study involved 60 patients with impacted third molars who were randomly allocated into 3 groups of 20 patients each. Preoperatively, group P received 1 g paracetamol intravenous; group D received a 75-mg diclofenac sodium intramuscular injection; and group L received 8 mg lornoxicam intravenous. Postoperative pain intensity, additional consumption of analgesics postoperatively, and postoperative complications were compared among groups. The study found that all groups were comparable for pain scores (P > .05). Maximum pain scores were recorded in the fourth hour postoperatively in all groups (group L 22, 14 to 44 mm; group P 24, 13 to 43 mm; group D 14, 10 to 24 mm, P = .117). Patients experienced high satisfaction scores, which were comparable among the groups (group L 85, 75 to 100 mm; group P 87, 70 to 95 mm; group D 84, 77 to 98 mm, P = .457). The authors conclude that preoperative intramuscular diclofenac sodium, paracetamol intravenous, and lornoxicam intravenous effectively decreased the pain scores. The patients were satisfied with the 3 postoperative pain management regimens.
(Source: Medical Principles and Practice, International Journal of the Kuwait University Health Sciences Centre. July 2011, Volume 20, Number 5, page 470)

Dentistry Today is The Nation's Leading Clinical News Magazine for Dentists. Here you can get the latest dental news from the whole world quickly.


Sponsor Logos