Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Effects of Single-Dose Preemptive Intravenous Dexketoprofen Trometamol and Ibuprofen on Pain and Edema Control Following Third Molar Surgery: A Prospective, Randomized, Double-Blind and Clinical Study
Tek Doz Preemptif İntravenöz Deksketoprofen Trometamol ve İbuprofen'in Üçüncü Molar Cerrahisi Sonrası Ağrı ve Ödem Kontrolü Üzerine Etkileri: Prospektif, Randomize, Çift Kör ve Klinik Bir Çalışma
Suheyb BİLGEa, Mustafa KARAKAYAb, Ebru BAYDANa, Ahmet Emin DEMİRBAŞa
aDepartment of Oral and Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Kayseri, Türkiye
bClinic of Oral and Maxillofacial Surgery, Sultanbeyli Oral and Dental Health Hospital, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):502-10
doi: 10.5336/dentalsci.2021-86763
Article Language: EN
Full Text
ABSTRACT
 Objective: This comparative study aims to investigate the single-dose preemptive effects of intravenous (IV) dexketoprofen trometamol, ibuprofen for pain and edema control in mandibular wisdom teeth surgery. Material and Methods: In this study, 75 patients were randomly divided into 3 groups. Group 1 received IV ibuprofen 60 min before surgery; Group 2 received IV dexketoprofen trometamol 60 min before surgery; Group 3 received IV placebo (100 cc saline) 60 min before surgery. The pain and facial swelling were evaluated. Postoperative pain was recorded with a Visual Analog Scale (VAS) during 24 h. The total recovery acetaminophen intake dose was recorded in the first 24 h. Also, a 3D surface imaging device was used in the evaluation of swelling. Results: There was no statistically significant difference in the pain between the ibuprofen and dexketoprofen groups. There was a statistically significant difference in the edema on the 2nd day (T1) between the ibuprofen and dexketoprofen group (p=0.010). On the 2nd day edema, the amount of edema observed in the ibuprofen group was recorded as the least. Postoperative edema and pain were higher in the placebo group than in the other groups (p<0.05). Conclusion: The findings obtained in this study suggest that the preemptive application of IV ibuprofen and dexketoprofen is effective in the control of edema and pain compared to the placebo group after third molar surgery.

Keywords: Pain management; facial pain; analgesic; preemptive analgesia; oral surgery
ÖZET
 Amaç: Bu karşılaştırmalı çalışma, mandibular gömülü yirmi yaş dişlerin cerrahi çekimlerinde intravenöz (IV) deksketoprofen trometamol ile IV ibuprofenin ağrı ve ödem kontrolünde preemptif kullanımlarının etkilerini araştırmayı amaçlamaktadır. Gereç ve Yöntemler: Bu çalışmada, 75 hasta rastgele olacak şekilde 3 gruba ayrıldı. Grup 1 ameliyattan 60 dakika önce IV ibuprofen aldı; Grup 2 ameliyattan 60 dakika önce IV deksketoprofen trometamol aldı; Grup 3, ameliyattan 60 dakika önce IV plasebo (100 cc salin) aldı. Ağrı ve yüzdeki şişlik değerlendirildi. Postoperatif ağrı 24 saat boyunca Vizüel Analog Skala (VAS) ile kaydedildi. İlk 24 saatlik dönemde toplam asetaminofen alım dozu kaydedildi. Ayrıca ödemin değerlendirilmesinde 3 boyutlu yüzey görüntüleme cihazı kullanıldı. Bulgular: İbuprofen ve deksketoprofen grupları arasında ağrı kontrolü açısından istatistiksel olarak anlamlı fark bulunamadı. Ödem kontrolünde ise operasyon sonrası 2. günde (T1) ibuprofen ve deksketoprofen grupları arasında istatistiksel olarak anlamlı fark tespit edildi (p=0,010). İkinci gün ödem kontrolünde ibuprofen grubunda gözlenen ödem miktarı en az olarak kaydedildi. Plasebo grubunda ise postoperatif ödem ve ağrı değerlerinin diğer gruplara göre daha yüksek olduğu tespit edildi (p<0,05). Sonuç: Bu çalışmada elde edilen bulgular, 3. molar cerrahisi sonrası plasebo grubuna kıyasla IV ibuprofen ve deksketoprofenin preemptif uygulanmasının ödem ve ağrı kontrolünde etkili olduğunu düşündürmektedir.

Anahtar Kelimeler: Ağrı yönetimi; yüz ağrısı; analjezi; önleyici analjezi; oral cerrahi
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