Preemptive effects of ibuprofen and nimesulide on postoperative pain control after open flap periodontal surgeries : A randomized placebo-controlled split-mouth clinical trial

© 2021 American Academy of Periodontology..

BACKGROUND: Data on preemptive analgesia in periodontal surgeries are scarce and still diverse. The aim of this study was to evaluate and compare the analgesic effects of the preemptive administration of ibuprofen and nimesulide in open flap periodontal surgeries.

METHODS: The present randomized controlled clinical trial comprised 40 individuals, divided into two groups (n = 20), according to the test drug (ibuprofen and nimesulide) to be administered 1 hour preoperatively. Participants underwent bilateral periodontal surgeries at two different times, and were randomly given the test drug or placebo in a split-mouth design. Postoperative pain and rescue medication were evaluated at different times. Comparisons between ibuprofen and nimesulide were performed through a Generalized Estimation Equation model, using test drug and evaluation times, along with an interaction between these two variables as predictors.

RESULTS: In intergroup comparisons regarding pain control, ibuprofen showed better effects than placebo only at the first postoperative hour, whereas nimesulide showed better effects than placebo at 1, 6, 24, and 48 postoperative hours. In intergroup comparisons, nimesulide showed better effects than ibuprofen at 24, 48, and 72 postoperative hours, demonstrating a higher overall preemptive effect. No differences were observed in relation to the number of rescue medication.

CONCLUSION: Preemptive administration of nimesulide showed better overall preemptive effects on postoperative pain control when compared with ibuprofen.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Journal of periodontology - 93(2022), 2 vom: 15. Feb., Seite 298-307

Sprache:

Englisch

Beteiligte Personen:

Santos, Bianca F E [VerfasserIn]
Costa, Fernando O [VerfasserIn]
Vasconcelos, Andrea M A [VerfasserIn]
Cyrino, Renata M [VerfasserIn]
Cota, Luís O M [VerfasserIn]

Links:

Volltext

Themen:

Analgesia; ibuprofen; nimesulide; pain
Ibuprofen
Journal Article
Nimesulide
Postoperative; pain management; preanesthetic medication
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Sulfonamides
V4TKW1454M
WK2XYI10QM

Anmerkungen:

Date Completed 02.05.2022

Date Revised 02.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/JPER.20-0887

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325810885