1.Analgesic efficiency of dexketoprofen trometamol in third molar surgery: a systematic review and meta-analysis
Bishwa Prakash BHATTARAI ; Diane Isabel SELVIDO ; Dinesh ROKAYA
Journal of Dental Anesthesia and Pain Medicine 2024;24(5):305-318
This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8thpostoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria.A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour:SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability.Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.
2.Analgesic efficiency of dexketoprofen trometamol in third molar surgery: a systematic review and meta-analysis
Bishwa Prakash BHATTARAI ; Diane Isabel SELVIDO ; Dinesh ROKAYA
Journal of Dental Anesthesia and Pain Medicine 2024;24(5):305-318
This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8thpostoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria.A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour:SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability.Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.
3.Analgesic efficiency of dexketoprofen trometamol in third molar surgery: a systematic review and meta-analysis
Bishwa Prakash BHATTARAI ; Diane Isabel SELVIDO ; Dinesh ROKAYA
Journal of Dental Anesthesia and Pain Medicine 2024;24(5):305-318
This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8thpostoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria.A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour:SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability.Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.
4.Analgesic efficiency of dexketoprofen trometamol in third molar surgery: a systematic review and meta-analysis
Bishwa Prakash BHATTARAI ; Diane Isabel SELVIDO ; Dinesh ROKAYA
Journal of Dental Anesthesia and Pain Medicine 2024;24(5):305-318
This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8thpostoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria.A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour:SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability.Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.
5.Review of dexamethasone administration for management of complications in postoperative third molar surgery
Diane Isabel SELVIDO ; Bishwa Prakash BHATTARAI ; Nattisa NIYOMTHAM ; Apiwat RIDDHABHAYA ; Kadkao VONGSAWAN ; Verasak PAIRUCHVEJ ; Natthamet WONGSIRICHAT
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2021;47(5):341-350
Dexamethasone has been used in oral and maxillofacial surgery for postoperative pain, swelling, and trismus following third molar surgeries. It is a potent and powerful drug that can alleviate the aforementioned postoperative sequelae. Dexamethasone is responsible for inhibiting the release of inflammatory mediators in the inflammation process to improve patient quality of life after surgical intervention. There are several available routes of administering dexamethasone. This article will help determine the suggested routes of administration, dosage, parameters, and dexamethasone timing for third molar surgeries.