Browsing by Subject "Preemptive analgesia"

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    Effects of the preoperative administration of Dexketoprofen Trometamol on pain and swelling after implant surgery: a randomized, double-blind controlled trial
    (American Academy of Implant Dentistry, 2018-04-01) Sánchez-Pérez, Arturo; Muñoz-Peñalver, Jesús; Moya Villaescusa, María José; Sánchez-Matás, Carmen; Dermatología, Estomatología, Radiología y Medicina Física
    The fear of postoperative pain is often mentioned by patients as one of the factors that is most frequently associated with dental implants. To reduce this factor, a single oral dose of 25 mg dexketoprofen trometamol (DKT) or placebo was administered 15 minutes before implant surgery. One hundred patients who required single-implant treatments were randomly assigned to 1 of 2 blinded groups. The patients in the test group were given 25 mg DKT (DKT group), and those in the control group were given 500 mg vitamin C as a placebo (PLACEBO group). A subjective visual analogue scale of 100 mm in length was used to evaluate pain. Inflammation and complications were assessed using a 5-point Likert scale. An analysis of variance, t-tests, and a Mann-Whitney U test were performed. Among the 100 patients, 83 completed the study (there were 8 dropouts in the PLACEBO group and 9 in the DKT group). The patients who received DKT reported a lower pain intensity during the immediate postoperative period. The inflammatory response was weaker in the DKT group than the control group at 48 hours, but bleeding was greater. There were no other complications in either of the groups. In conclusion, the preemptive use of 25 mg soluble DKT administered orally 15 minutes before implant surgery can reduce the severity of immediate postoperative pain.
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    Influence of operator’s professional experience in the postoperative course after surgical extrac-tion of the impacted lower third molar: a pilot study
    (Medicina Oral S. L., 2020-09-01) Ruiz Roca, Juan Antonio; Donoso Martínez, Benjamín; Ameneiros Serantes, Susana; Martínez Beneyto, Yolanda; Salmerón Martínez, Diego; Gay Escoda, Cosme; Dermatología, Estomatología, Radiología y Medicina Física
    Background: Third molars are present in 96.6% of humans, although they do not always erupt completely. Between 9.5% and 73% of them remain impacted. Surgical removal of impacted third molars is the most common practice in oral and maxillofacial surgery. This procedure results in traumatism and, consequently, the postoperative phase will involve symptomatology. It is uncommon to find studies that directly relate postoperative symptomatology and the operator’s experience. The aim of this study was to determine the differences regarding postoperative symp-tomatology in patients undergoing the bilateral extraction of lower impacted third molars and according to the operator’s experience. Material and Methods: A prospective cohort double-blind study was conducted in 50 healthy patients (100 molar extractions) to whom both lower third molars were removed by two dentists with different degree of professional experience. The extractions were randomly assigned with a split–mouth design. If an operator extracted the lower third molar on one side, the other operator extracted the contralateral one. The variables studied after four days of postoperative period were Pain (EVA scale), Inflammation and Trismus, in addition to intraoperative time and local anesthesia administered. Results: Statistically significant differences were detected in the time of intervention and in trismus, since the most experienced operator always needed less time and caused higher degree of trismus. However, this does not entail more inflammation or pain in patients, so there are no relevant differences between operators with more or less experience (p>0.05). Conclusions: The postoperative period is more favorable for the most experienced operator, although the results do not vary in a relevant manner between them.