Use of ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars

Psychological Impact of Third Molar Surgery: A 1-Month Prospective Study

“…Another explanation for the findings relative to those of our previous study is the fact that in the present study the surgeon used a standard non-steroidal anti-inflammatory drug to reduce the intensity and the duration of postoperative pain. This may have helped to reduce possible discomfort and emotional distress caused by physical post-operative complications (inflammation, swelling, pain and other predictable sequelae following tissue injury) and thus prevented the development of psychological complications following treatment 12 . An even more plausible explanation is that the third molar surgery as performed in the present study was not 'traumatic' enough, was only traumatic for a relatively small portion of patients, or was that only in case certain circumstances were met.…”

Pre-Emptive Analgesia with Ketamine for Relief of Postoperative Pain After Surgical Removal of Impacted Mandibular Third Molars

“…Schultze-Mosgau et al [6] studied the combined usage of oral ibuprofen and revealed that combined usage of these two drugs decreased the edema by 56 % and pain by 67 % compared with the control group. Buyukkurt et al [17] determined that the intramuscular injection of a single dose of the combination of prednisolone and diclofenac immediately after surgery was well suited to treat postoperative pain, trismus, and swelling, and they recommended that it be used when extensive postoperative swelling of soft tissue is anticipated.…”

“…Measurement tools mentioned in the literature have included visual analog scales, trismus recordings, standardized stereo-radiographic or photographic measurements, computerized tomography, modified face bow devices, ultrasonography, facial plethysmographs, or various other means of taking direct facial measurements. In the present study, a modification of the tape-measure method as described by Schultze-Mosgau et al [6][7][8], two measurements were made between three reference points: the tragus, pogonion and corner of the mouth. The preoperative sum of the two measurements was considered as the baseline for that side.…”

“…Facial swelling was measured using a measuring tape on the 1st, 3rd and 7th postoperative days by a modification of the tape-measure method as described by Schultze-Mosgau et al [6][7][8]. Two measurements were made between three reference points: the tragus, pogonion and corner of the mouth.…”

Evaluation of Complications Following Impacted Mandibular Third Molar Extraction in Patients with Different Hand Preference

“…VAS scores (0-10 points) were evaluated at postoperative 2, 6, and 12 hours and 2, 4, and 7 days. We modified the method described by Schultzemosgau et al (16) to assess edema in the jaw and the face: 6 fixed points and 5 surgical baselines were marked on the patient's face while the mouth was closed, and the distances between the points were measured using a string. Measurements were made immediately before surgery and at 2 and 7 days postoperatively.…”