Postoperative analgesia in impacted third molar surgery: The role of preoperative diclofenac sodium, paracetamol and lornoxicam

Aysegul Mine Tuzuner Oncul, Duygu Yazicioglu, Zekeriyya Alanoglu, Samimi Demiralp, Adnan Ozturk, Cahit Ucok

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Objective: The aim of this study was to compare the postoperative analgesic effects of preoperative intravenous (i.v.) paracetamol, diclofenac sodium and lornoxicam (nonsteroidal anti-inflammatory drugs). Subjects and Methods: Sixty patients with impacted third molar who underwent surgical removal were randomly allocated into three groups: group P (n = 20), group D (n = 20) and group L (n = 20). Group P received preoperatively 1 g paracetamol i.v., group D 75 mg diclofenac sodium i.m. and group L 8 mg lornoxicam i.v. Postoperative pain intensity, additional consumption of analgesics postoperatively and postoperative complications were compared among groups. Results: The groups were comparable for pain scores (p > 0.05). Maximum pain scores were recorded in postoperative 4th h in all groups (group L 22, 14-44 mm; group P 24, 13-43 mm; group D 14, 10-24 mm, p = 0.117). Patients experienced high satisfaction scores which were comparable among groups (group L 85, 75-100 mm; group P 87, 70-95 mm; group D 84, 77-98 mm, p = 0.457). Conclusion: Preoperative intramuscular diclofenac, intravenous paracetamol and lornoxicam effectively decreased the pain scores. The patients were satisfied with the three postoperative pain management regimens.

Original languageEnglish
Pages (from-to)470-476
Number of pages7
JournalMedical Principles and Practice
Volume20
Issue number5
DOIs
StatePublished - Jul 2011

Keywords

  • Diclofenac sodium
  • Intravenous paracetamol
  • Lornoxicam
  • Preemptive analgesia
  • Third molar surgery

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