Volume 12, Issue 2 (2023)                   WJPS 2023, 12(2): 3-10 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahpeyma A, Eshghpour M, Vaezi T, Shams A, Manafi A, Manafi N. Pharmacological and Non-Pharmacological Methods of Postoperative Pain Control Following Oral and Maxillofacial Surgery: A Systematic Review. WJPS 2023; 12 (2) :3-10
URL: http://wjps.ir/article-1-1126-en.html
1- Department of Oral &Maxillofacial Surgery, Mashhad University of Medical Science, Mashhad, Iran
2- Department of Oral &Maxillofacial Surgery, Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Science, Mashhad, Iran , Shamsa971@mums.ac.ir
3- Department of Anesthesia, Detroit Medical Center, NorthStar Anesthesia, Detroit, MI
Abstract:   (1224 Views)
Background: We aimed to investigate the pharmacological and non-pharmacological interventions used for mitigating pain.
Methods: We integrated randomized controlled trials (RCTs) chosen from PubMed, Google scholar, and Scopus and aimed at assessing the effectiveness of one or multiple variants of Non-steroidal anti-inflammatory drugs (NSAIDs), as well as Narcotic analgesics, compared to corticosteroids, curcumin, hyaluronic acid, and antibiotics. In addition, trials utilizing NSAIDs, including Rofecoxib, which have been withdrawn from market circulation, were deemed ineligible for inclusion.
Result: A total of 9 RCTs were evaluated in this study, and the patients' postoperative pain was assessed using the visual analog scale (VAS) and the time measurement. Moreover, there were various approaches to alleviating pain and discomfort.
Conclusion: The administration of ibuprofen prior to surgery leads to a marked reduction in pain. Pharmacological interventions, such as the administration of dexamethasone and oxycodone, alongside non-pharmacological interventions, such as laser therapy, have been shown to effectively alleviate the discomfort resulting from surgical procedures on the jaw and face.
Full-Text [PDF 468 kb]   (774 Downloads)    
Type of Study: Original Article | Subject: Special
ePublished: 2023/09/23

1. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 1986;3:S1-226.
2. Brodin P, Orstavik D. Effects of therapeutic and pulp protecting materials on nerve transmission in vitro. Scand J Dent Res 1983;91:46-50. doi:10.1111/j.1600-0722.1983.tb00774.x. [DOI:10.1111/j.1600-0722.1983.tb00774.x]
3. McAloon C, O'Connor PC, Boyer M. Patient's perception of pain on admission and discharge from the emergency department. N J Nurse 2003;33:7.
4. Lee K, Lee BM, Park CK, Kim YH, Chung G. Ion Channels Involved in Tooth Pain. Int J Mol Sci 2019;20:2266. doi:10.3390/ijms20092266. [DOI:10.3390/ijms20092266]
5. Chaturvedi S, Chaturvedi A. Postoperative pain and its management. Indian J Crit Care Med 2007;11:204-11. doi:10.4103/0972-5229.37716. [DOI:10.4103/0972-5229.37716]
6. Colletti V, Carner M, Vincenzi A, Dallari S, Mira E, Benazzo M, Cosentino G, Bellussi L, Passali D. Intramuscular tramadol versus ketorolac in the treatment of pain following nasal surgery: a controlled multicenter trial. Curr Ther Res 1998;59:608-18. doi:10.1016/S0011-393X(98)85059-5. [DOI:10.1016/S0011-393X(98)85059-5]
7. Kerns RD, Philip EJ, Lee AW, Rosenberger PH. Implementation of the veterans health administration national pain management strategy. Transl Behav Med 2011;1:635-43. doi:10.1007/s13142-011-0094-3. [DOI:10.1007/s13142-011-0094-3]
8. Moore PA, Brar P, Smiga ER, Costello BJ. Preemptive rofecoxib and dexamethasone for prevention of pain and trismus following third molar surgery *. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:E1-7. doi:10.1016/j.tripleo.2004.08.028. [DOI:10.1016/j.tripleo.2004.08.028]
9. Hermes D, Truebger D, Hakim SG, Sieg P. Tape recorded hypnosis in oral and maxillofacial surgery--basics and first clinical experience. J Craniomaxillofac Surg 2005;33:123-9. doi:10.1016/j.jcms.2004.06.009. [DOI:10.1016/j.jcms.2004.06.009]
10. Meechan JG, Seymour RA. The use of third molar surgery in clinical pharmacology. Br J Oral Maxillofac Surg 1993;31:360-5. doi:10.1016/0266-4356(93)90191-x. [DOI:10.1016/0266-4356(93)90191-X]
11. Richy F, Bruyere O, Ethgen O, Rabenda V, Bouvenot G, Audran M, Herrero-Beaumont G, Moore A, Eliakim R, Haim M, Reginster JY. Time dependent risk of gastrointestinal complications induced by non-steroidal anti-inflammatory drug use: a consensus statement using a meta-analytic approach. Ann Rheum Dis 2004;63:759-66. doi:10.1136/ard.2003.015925. [DOI:10.1136/ard.2003.015925]
12. Farr DR, Hare AR. The use of thromboembolic prophylaxis in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 1994;32:161-4. doi:10.1016/0266-4356(94)90101-5. [DOI:10.1016/0266-4356(94)90101-5]
13. Sailer S. Supplementary non pharmacological interventions in patients of the Department of Oral and Maxillofacial Surgery. Saf Health 2015;1:A10. doi:10.1186/2056-5917-1-S1-A10. [DOI:10.1186/2056-5917-1-S1-A10]
14. Resnick CM, Calabrese CE, Afshar S, Padwa BL. Do Oral and Maxillofacial Surgeons Over-Prescribe Opioids After Extraction of Asymptomatic Third Molars? J Oral Maxillofac Surg 2019;77:1332-6. doi:10.1016/j.joms.2019.02.011. [DOI:10.1016/j.joms.2019.02.011]
15. Ghensi P, Cucchi A, Creminelli L, Tomasi C, Zavan B, Maiorana C. Effect of Oral Administration of Bromelain on Postoperative Discomfort After Third Molar Surgery. J Craniofac Surg 2017;28:e191-e7. doi:10.1097/scs.0000000000003154. [DOI:10.1097/SCS.0000000000003154]
16. Mojsa IM, Pokrowiecki R, Lipczynski K, Czerwonka D, Szczeklik K, Zaleska M. Effect of submucosal dexamethasone injection on postoperative pain, oedema, and trismus following mandibular third molar surgery: a prospective, randomized, double-blind clinical trial. Int J Oral Maxillofac Surg 2017;46:524-30. doi:10.1016/j.ijom.2016.11.006. [DOI:10.1016/j.ijom.2016.11.006]
17. Best AD, De Silva RK, Thomson WM, Tong DC, Cameron CM, De Silva HL. Efficacy of Codeine When Added to Paracetamol (Acetaminophen) and Ibuprofen for Relief of Postoperative Pain After Surgical Removal of Impacted Third Molars: A Double-Blinded Randomized Control Trial. J Oral Maxillofac Surg 2017;75:2063-9. doi:10.1016/j.joms.2017.04.045. [DOI:10.1016/j.joms.2017.04.045]
18. Patel NA, Keith DA. Five-Year Comparative Analysis of Medicare Opioid Prescription Volume Among Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg 2019;77:2439-46. doi:10.1016/j.joms.2019.07.004. [DOI:10.1016/j.joms.2019.07.004]
19. Perrott DH, Yuen JP, Andresen RV, Dodson TB. Office-based ambulatory anesthesia: outcomes of clinical practice of oral and maxillofacial surgeons. J Oral Maxillofac Surg 2003;61:983-95; discussion 95-6. doi:10.1016/s0278-2391(03)00668-2. [DOI:10.1016/S0278-2391(03)00668-2]
20. Todorovic VS, Vasovic M, Andric M, Todorovic L, Kokovic V. Efficacy of fentanyl transdermal patch in pain control after lower third molar surgery: A preliminary study. Med Oral Patol Oral Cir Bucal 2016;21:e621-5. doi:10.4317/medoral.21161. [DOI:10.4317/medoral.21161]
21. Zupelari-Goncalves P, Weckwerth GM, Calvo AM, Simoneti LF, Dionisio TJ, Brozoski DT, Torres EA, Lauris JRP, Faria FAC, Santos CF. Efficacy of oral diclofenac with or without codeine for pain control after invasive bilateral third molar extractions. Int J Oral Maxillofac Surg 2017;46:621-7. doi:10.1016/j.ijom.2017.01.008. [DOI:10.1016/j.ijom.2017.01.008]
22. Benetello V, Sakamoto FC, Giglio FP, Sakai VT, Calvo AM, Modena KC, Colombini BL, Dionísio TJ, Lauris JR, Faria FA, Santos CF. The selective and non-selective cyclooxygenase inhibitors valdecoxib and piroxicam induce the same postoperative analgesia and control of trismus and swelling after lower third molar removal. Braz J Med Biol Res 2007;40:1133-40. doi:10.1590/s0100-879x2006005000123. [DOI:10.1590/S0100-879X2006005000123]
23. Atencio I, Beushausen M, Kowalczyk JJ, Flores-Hidalgo A, Fino NF, Baur DA. Use of Intravenous Acetaminophen in Postoperative Pain Management After Partial and Full Bony Impacted Third Molar Extractions: A Randomized Double-Blind Controlled Trial. J Oral Maxillofac Surg 2018;76:1414-7. doi:10.1016/j.joms.2018.01.032. [DOI:10.1016/j.joms.2018.01.032]
24. Fraga RS, Antunes LAA, Fialho WLS, Valente MI, Gomes CC, Fontes K, Antunes LS. Do Antimicrobial Photodynamic Therapy and Low-Level Laser Therapy Minimize Postoperative Pain and Edema After Molar Extraction? J Oral Maxillofac Surg 2020;78:2155.e1-.e10. doi:10.1016/j.joms.2020.08.002. [DOI:10.1016/j.joms.2020.08.002]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb