Pre-Emptive Analgesic Effect of Tramadol and Ibuprofen After Impacted Mandibular Third Molar Extraction

Minwah, Bara S

doi:10.33899/rden.2016.164141

	Pre-Emptive Analgesic Effect of Tramadol and Ibuprofen After Impacted Mandibular Third Molar Extraction
Al-Rafidain Dental Journal
Article 8, Volume 17, Issue 1, 2017, Pages 76-85 PDF (688.09 K)
Document Type: Research Paper
DOI: 10.33899/rden.2016.164141
Author
Bara S Minwah
Abstract
Aims: to evaluate the efficacy of analgesia produced by preoperative administration of tramadol or ibuprofen on surgically extracted mandibular 3^rd molars .Materials and Methods :surgical removal of lower 3^rd molar was performed in 30 patients , they were divided into three groups of ten patient for each. Group I: preoperative 100mg tramadol IM injection; Group II: preoperative 800 mg Ibuprofen orally; Group III: control group with no preoperative treatment .Analgesia was assessed by visual analogue scale (VAS), Verbal pain Scale(VPS), patient satisfaction(PS), amount of analgesic consumption and time elapsed before first intake were recorded after 24 hours. Results: There was significant differences between tramadol and control group in all types of pain scales in favor of tramadol group . There was significant difference in the visual analog scale (VAS) ,number and time of tablets needed during 24 hours between Ibuprofen and control group . There was significant difference between Tramadol and Ibuprofen groups in both of (VAS) and (VPS) in favor of Tramadol group. Conclusions: The use of tramadol or ibuprofen preemptively is effective method of postoperative pain control in impacted lower 3^rd molar surgery .
Keywords
preemptive analgesia; impacted mandibular third molar

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