Prescriptions of NSAIDs to Patients Undergoing Third Molar Surgery

Levrini, Luca; Carraro, Marco; Rizzo, Silvana; Salgarello, Stefano; Bertelli, E.; Pelliccioni, Gian Andrea; Garau, Valentino; Bandettini, M.; Caputi, Sergio; Lőrincz, András; Szücs, Ákos

doi:10.2165/00044011-200828100-00006

Cited by 18 publications

(20 citation statements)

References 18 publications

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“…There are few studies of the use of analgesic medicines prescribed by dental practitioners, and none in the Australian context. There are concerns that the prescribing of analgesics in particular has become increasingly consumer‐driven, resulting in greater risk of misuse and dependence .…”

Section: Introductionmentioning

confidence: 99%

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Prescribing patterns of analgesics and other medicines by dental practitioners in Australia from 2001 to 2012

Hollingworth

Chan

Pham

et al. 2017

Comm Dent Oral Epid

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Section: Introductionmentioning

confidence: 99%

“…There are few studies 19,20 of the use of analgesic medicines prescribed by dental practitioners, and none in the Australian context.…”

Section: Introductionmentioning

confidence: 99%

Prescribing patterns of analgesics and other medicines by dental practitioners in Australia from 2001 to 2012

Hollingworth

Chan

Pham

et al. 2017

Comm Dent Oral Epid

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“…An Italian observational, multicenter, prospective survey study evaluated the pattern of administration of NSAIDs in patients undergoing surgery for extraction of an impacted third molar. The study also aimed to collect information on the efficacy, onset and duration of the analgesic effect of routinely prescribed NSAIDs and to assess the duration of treatment with these drugs and their tolerability.…”

Section: Discussionmentioning

confidence: 99%

Decision making in third molar surgery: a survey of Brazilian oral and maxillofacial surgeons

Camargo

Melo

Fernandes

et al. 2015

International Dental Journal

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This study was designed to evaluate the variations in decision making among Brazilian oral and maxillofacial surgeons (OMFS) and trainees in relation to third molar surgery. A survey on 18 diverse clinical situations related to the assessment and treatment of the third molar surgeries was conducted during the 20th Brazilian National OMFS meeting. Participants were divided into three groups according to their level of training. Another variable studied was length of experience. Correlation between the question answers and the variables was analysed using the chi-square test and the f test. The mean age of participants was 32.68 years, and their mean length of experience was 5.24 years. There were no statistical differences between the level of training and number of years of experience and the responses to 15 of the 18 questions on clinical situations. However, differences were found in responses to prophylactic extraction of asymptomatic third molars, use of non-steriodal anti-inflammatory drugs (NSAIDs) during the preoperative surgical period and the use of additional imaging to plan extractions. The group with shorter time of experience (3.8 ± 3.94 years) tended to recommend extractions of asymptomatic third molars more frequently compared with the more experienced surgeons (P = 0.041). More experienced surgeons used NSAIDs in the preoperative surgical period, whereas the majority of the youngest surgeons (4.1 ± 5.96 years of experience) did not (P = 0.0042). The certificated trained and in practice group tended to treat deep lower third molar impactions based on the findings of a panoramic radiograph, without obtaining additional imaging [cone beam computed tomography (CBCT)] before treatment (P = 0.0132). Decision making regarding third molar treatment differs according to the level of training and is influenced by the number of years of experience. Therefore, further continuous education programmes in this area are warranted to make recommendations regarding third molars consistent with the current literature.

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“…In general, this difference in prescribing may be influenced by different practitioners in different countries, less reported side effects of medications and their effectiveness in different indications [33,34].…”

Section: Utilization Pattern Of Analgesic Usementioning

confidence: 99%

Analgesics Use in Dentistry

Krasniqi¹,

Daci²

2017

Pain Relief - From Analgesics to Alternative Therapies

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Pain is a protective warning sign activated by tissue damage during different pathological processes. The clinical manifestation of pain is individual, multifactorial and very complex and requires the implementation of sound pharmacological approaches. The treatment of odontogenic pain is focused not only in the relief of pain but also in the suppression of causes of pain, mainly the inflammation. Acting as inhibitors of pain mechanism, analgesics are used for symptomatic treatment of pain. There are several groups of analgesic drugs used in dentistry practice and most frequent are nonsteroidal anti-inflammatory drugs (NSAIDs) and aniline analgesics. The contemporary strategies for the treatment of odontogenic pain are focused in analgesic drug combinations, which are more effective and have a better safety profile. Ibuprofen and acetaminophen agents are considered gold standard of dental analgesia for mild to moderate intensity of pain, while in moderate to severe pain the use of individual opioid analgesics or combination of opioid and nonopioid analgesics is recommended. The treatment of pain in children and elderly patients is associated with some limitations accompanied with safety concerns and dose reduction. Treatment of pain in dentistry is focused in achieving the satisfactory level of analgesia at low doses possible.

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Prescriptions of NSAIDs to Patients Undergoing Third Molar Surgery

Abstract: These results confirm nimesulide as an effective reference drug for the treatment of post-operative dental pain and show that it has a positive benefit/risk profile in this setting.

Cited by 18 publications

References 18 publications

Prescribing patterns of analgesics and other medicines by dental practitioners in Australia from 2001 to 2012

Prescribing patterns of analgesics and other medicines by dental practitioners in Australia from 2001 to 2012

Decision making in third molar surgery: a survey of Brazilian oral and maxillofacial surgeons

Analgesics Use in Dentistry

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