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NSAIDs found sufficiently useful to relieve postoperative dental pain

NSAIDs found sufficiently useful to relieve postoperative dental pain NSAIDs found sufficiently useful to relieve postoperative dental pain
NSAIDs found sufficiently useful to relieve postoperative dental pain NSAIDs found sufficiently useful to relieve postoperative dental pain

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NSAIDs may be considered sufficient and reliable analgesics to treat postoperative dental pain. However, pharmacolgogy of pain and inflammation should be considered while prescribing opioids. 

Dental pain (toothache or odontalgia) is usually the chief complaint of dental patients following different interventional procedures and dental diseases. To manage dental pain in clinical practice is a complex part of dental care. Pharmacological treatment generally prescribed by a dentist to counter the dental pain can be NASIDS, OTC analgesics and opioid etc. This has lead the possibility of over prescribing and abuse of analgesics, in particular the opioid class of medications. On occasion dental pain may be sufficiently severe to support the use of opioids.

An observational study was performed with certain objectives which involved both dentist and patients for a 5-day period, patients were recruited from PEARL Network dentists site. Its objective was to to evaluate the (1) the post procedural prescriptions pattern of analgesic (Rx and OTC) and recommendations (OTC) in dental practices (2) to determine associated effectiveness and side effects of these medications as measured by patient reported outcomes (PROs).

The inclusion criteria for patient was- 1) Permanent dentition (erupted 2nd molar teeth). 2) Following one of the seven dental procedure - (extraction, endodontic therapy, pulp capping, crown preparation, periodontal surgery, abscess treatment). 3)Expected by the P-I to experience postoperative pain sufficient to require an analgesic. 4) Able to judge pain level. 5) Ability and willingness to give verbal consent.

Exclusion Criteria- If someone is under treatment for medical disorders (dementia, Parkinson's disease, depression, severe anxiety, or any other medical condition), which according to P-I, would affect the subject's judgment of postoperative pain. 2) Currently participating in another dental or medical research study.

Baseline questionnaires were completed by 2765 (99.9%) of 2767 eligible patients, and 2381 (86%) patients responded to the Day 5 follow-up questionnaires.

The estimated data showed NSAIDs, both OTC and prescribed dosages, could be an adequate

analgesic to treat most postoperative dental pain. Clinical judgment for the use of opioid should involve  the physiological principles related to the pharmacology of pain and inflammation and may include a central effect.

Source:

Compendium of continuing education in dentistry

Article:

Opioid, NSAID, and OTC Analgesic Medications for Dental Procedures: PEARL Network Findings.

Authors:

Wong YJ et al.

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