Efficacy of NSAID administration for the relief of pain in patients subjected to complex third molar extraction
The research of analgesic effects of various drugs prescribed to the patients subjected to complex teeth extraction are presented in the article. The aim of the article is to analyze the effectiveness of nonselective and selective nonsteroidal anti-inflammatory drugs in achieving relief of pain in patients subjected to complex extraction of the mandibular third molar. Material and methods. There were examined 60 patients - men and women of a young age, 18-44 years old, with impacted mandibular third molars. The pain syndrome assessment is conducted using subjective method and visual analogue scale (VAS). The extraction of impacted teeth was performed by a dental surgeon under one surgical protocol and having conducted articaine nerve block with vasoconstrictor. All the patients took nonsteroidal anti-inflammatory drugs to relieve pain after tooth extraction. Results. It has been established that analgesic effect of Arcoxia was sufficient and did not require any additional drug administration within the 24-hour period after teeth extraction. Side effects in patients taking NSAIDs were detected while taking Arcoxia in 2% of the cases, taking Ketanov in 12% of the cases, and taking Analgin in 10% of the cases. Pain syndrome intensity (VAS average score) among the trial patients didn’t have a significant increase and reached the mark of “Mild pain” (VAS) after taking Arcoxia 90mg for 24 hours. This is in contrast to the pain syndrome intensity after taking Ketanov 10mg and Analgin 500mg, which showed a substantial increase within a 24-hour period rising from the “Mild pain” to the mark of “Moderate pain” and “Sever pain” (VAS).