Oral dexamethasone decreases postoperative pain, swelling, and trismus more than diclofenac following third molar removal: a randomized controlled clinical trial
- 08.06.2017
- Original Article
Erschienen in:
- Verfasst von
- Carlos Alysson Aragão Lima
- Vinícius Tatsumoto Favarini
- Alexandre Machado Torres
- Rogério Almeida da Silva
- Fábio Ricardo Loureiro Sato
- Erschienen in
- Oral and Maxillofacial Surgery | Ausgabe 3/2017
Abstract
Purpose
The aim of this study was to compare the anti-inflammatory potential of two pharmacotherapy protocols based on the parameters of pain, trismus, and swelling, after extraction of third molars.
Methods
Thirty patients selected with symmetrical impaction of third molars were submitted to surgical procedures in both sides in different times. For one group, dexamethasone was used for 3 days, and for another group diclofenac sodium was also used for the same period. The main variables analyzed were the visual analogue pain scale (VAS), but others were also analyzed such as swelling and trismus, which were submitted to statistical analysis.
Results
The results had no difference regarding the length of procedures (p = 0.986) and the pain in the immediate and 4-h postoperative period (p = 0.723 and 0.541). The rescue analgesic consumption was higher (p < 0.05) when using the protocol with diclofenac sodium. The variables mouth opening (p < 0.05) and swelling (p < 0.05) were significantly better when using the protocol with dexamethasone in the postoperative period.
Conclusions
Medical protocol with the use of dexamethasone in the postoperative period was more effective in controlling pain, trismus, and swelling, after the extraction of third molars, when compared to diclofenac sodium.
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- Titel
- Oral dexamethasone decreases postoperative pain, swelling, and trismus more than diclofenac following third molar removal: a randomized controlled clinical trial
- Verfasst von
-
Carlos Alysson Aragão Lima
Vinícius Tatsumoto Favarini
Alexandre Machado Torres
Rogério Almeida da Silva
Fábio Ricardo Loureiro Sato
- Publikationsdatum
- 08.06.2017
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Oral and Maxillofacial Surgery / Ausgabe 3/2017
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569 - DOI
- https://doi.org/10.1007/s10006-017-0635-0
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