Successful pain management by Finnish oral surgeons

Antila, Heikki; Lehtinen, Risto; Heinaro, Ilkka; ̈nsineva, An La; Salonen, Markku

doi:10.1016/0030-4220(92)90208-8

Cited by 12 publications

(7 citation statements)

References 25 publications

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“…Surgical removal of wisdom teeth under local anaesthesia is widely carried out in general dental practice and in many institutional surgery clinics, occupying an appreciable amount of clinical time [ 1 , 2 ]. This procedure is usually associated with postoperative pain, swelling, and trismus [ 1 - 4 ] as direct and immediate consequences of the surgical procedure [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery

et al. 2005

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BackgroundThe apparent interactions between the mechanisms of action of non-steroidal anti-inflammatory drugs (NSAIDS) and steroids suggest that co-therapy may provide beneficial inflammatory and pain relief in the absence of side effects. The aim of the study was to compare the effect of co-administered dexamethasone and diclofenac potassium (diclofenac K) with diclofenac K alone on the postoperative pain, swelling and trismus after surgical removal of third molars.Patients and MethodsA prospective randomized double-blind study was conducted at the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Nigeria. A total of 100 patients were randomly allocated to two treatment groups of dexamethasone (prophylactic 8 mg and postoperative 4 mg IV) and diclofenac K (50 mg Oral before and after surgery), and diclofenac K alone (as with first group). The overall analgesic efficacy of the drug combinations was assessed postoperatively by determination of pain intensity using a category rating scale. Facial swelling was measured using a tape measure placed from tragus to gonion to tragus, while interincisal mouth-opening of patients was measured using a vernier calibrated caliper pre-operatively and post-operatively.ResultsCo-administration of dexamethasone and diclofenac K was significantly superior to diclofenac alone for the relief of pain (P < 0.05), and facial swelling up to post-operative 48 hour (P < 0.05). However, there was no significant difference for trismus relief between the two medication protocols (P > 0.05).ConclusionThis study illustrates enhanced effects of co-administered dexamethasone and diclofenac K on short-term post-operative pain and swelling, compared to diclofenac potassium alone in third molar surgery.

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Section: Introductionmentioning

confidence: 99%

Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery

et al. 2005

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“…In studies investigating the removal of the third molar, pain assessment is commonly used by clinicians as an index of treatment success, on the basis that patients use pain as a cue for treatment outcomes. A variety of pain rating scales are used to assess patients' pain outcomes (7)(8)(9)(10). The visual analogue scale (VAS) is most commonly used to assess pain intensity.…”

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confidence: 99%

“…The visual analogue scale (VAS) is most commonly used to assess pain intensity. A treatment is defined as successful when patients report postoperative pain that is significantly less than baseline measures or control group measures (7)(8)(9)(10). Alternatively, several authors define a pain reduction of 30% to 50% as successful (11)(12)(13).…”

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confidence: 99%

What Constitutes a Clinically Important Pain Reduction in Patients after Third Molar Surgery?

Martin¹,

Ashton‐James²,

Skorpil³

et al. 2013

Pain Research and Management

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“…[1][2][3][4] This rating is mostly used as the primary outcome measure, but multiple ratings will lower patient compliance. A single pain rating would therefore be more practical.…”

Section: Discussionmentioning

confidence: 99%

“…In most of these studies a multiple pain rating is used as the primary pain outcome. [1][2][3][4] In the assessment of pain, pain reports tend to change over time, even during the course of a day. 5,6 Jensen et al 6,7 have shown that in patients with chronic pain a single pain intensity rating was the least reliable, whereas three pain intensity measurements a day over the course of 4 days showed excellent internal consistency and validity.…”

mentioning

confidence: 99%

Can a single pain rating replace a multiple pain rating in third molar surgery studies? Analysis of 220 patients

Martin

Heymans

Skorpil

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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Successful pain management by Finnish oral surgeons

Cited by 12 publications

References 25 publications

Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery

Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery

What Constitutes a Clinically Important Pain Reduction in Patients after Third Molar Surgery?

Can a single pain rating replace a multiple pain rating in third molar surgery studies? Analysis of 220 patients

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