Effects of co-administered dexamethasone and nimesulide on pain, swelling, and trismus following third molar surgery: a randomized, triple-blind, controlled clinical trial.

Abstract:

:This study aimed to determine the effect of the co-administration of dexamethasone 8mg and nimesulide 100mg given 1h before mandibular third molar surgery. A prospective, randomized, triple-blind, split-mouth clinical trial was developed at the study institution in Pernambuco, Brazil. A pilot study was first performed (95% confidence interval, 80% test power, and 5% error), and a sample of 40 patients aged between 18 and 40 years was selected. The patients were randomized and divided into two groups: dexamethasone+placebo and dexamethasone+nimesulide. The following parameters were evaluated: pain (visual analogue scale), total number of rescue analgesics taken, time taken to first rescue analgesic consumption, oedema, trismus, and patient satisfaction. The paired t-test and the Wilcoxon test were used to compare means. Statistically significant differences were found between the groups in pain values at 2, 4, and 12h postoperative, and in the total number of rescue analgesics and time taken to first rescue analgesic ingestion (P<0.05), with results in favour of dexamethasone+nimesulide administration. Oedema and trismus were similar in the two treatment groups and decreased over time postoperatively. The co-administration of dexamethasone and nimesulide reduces pain intensity and the need for rescue medication after third molar surgery.

authors

Barbalho JC,Vasconcellos RJ,de Morais HH,Santos LA,Almeida RA,Rêbelo HL,Lucena EE,de Araújo SQ

doi

10.1016/j.ijom.2016.10.011

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

236-242

issue

2

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(16)30284-3

journal_volume

46

pub_type

杂志文章,随机对照试验
  • Dental implant placement in alveolar cleft patients: a retrospective comparative study on clinical and aesthetic outcomes.

    abstract::The aim of this retrospective study was to assess the clinical and aesthetic outcomes, and patient satisfaction, following dental implant therapy in cleft patients. Implant survival, changes in marginal bone level, pocket probing depths, plaque and bleeding indices, aesthetics, and patient satisfaction were assessed i...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2020.02.007

    authors: Alberga JM,Stellingsma K,Meijer HJA,Oostenbrink HA,Vissink A,Raghoebar GM

    更新日期:2020-07-01 00:00:00

  • Indications and methods of care for aspects of extraoral osseointegration.

    abstract::The introduction of percutaneous osseointegration biotechnology in 1979 to head and neck reconstruction permanently revised the long held view that a facial prosthesis was a last resort for the patient and surgeon alike. Since that time, the use of extraoral osseointegration has expanded considerably. The present revi...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章,评审

    doi:10.1054/ijom.2002.0340

    authors: Wolfaardt J,Gehl G,Farmand M,Wilkes G

    更新日期:2003-04-01 00:00:00

  • A novel extraoral registration method for a dynamic navigation system guiding zygomatic implant placement in patients with maxillectomy defects.

    abstract::Zygomatic implants (ZIs) are used for the oral rehabilitation of patients with maxillectomy defects as an alternative to extensive bone grafting surgeries. New technologies such as computer-assisted navigation systems can improve the accuracy and safety of ZI placement. The intraoral anchorage of fiducial markers nece...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2020.03.018

    authors: Zhou W,Fan S,Wang F,Huang W,Jamjoom FZ,Wu Y

    更新日期:2021-01-01 00:00:00

  • Mandibular symphyseal midline distraction osteogenesis for micrognathia associated with aglossia and situs inversus totalis.

    abstract::Aglossia is a rare congenital abnormality, often associated with micrognathia and limb defects. Situs inversus totalis is also a rare congenital abnormality, defined as a mirror-image reversal of all the asymmetric organs of the thorax and abdomen. The concurrence of these two abnormalities has only been reported in e...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2017.05.019

    authors: Ren XC,Li YF,Liu Y,Zhu SS

    更新日期:2017-10-01 00:00:00

  • Simultaneous placement of endosteal implants and mandibular onlay grafting for treatment of the atrophic mandible. A preliminary report.

    abstract::A method of placing two endosteal implants with simultaneous bone grafting to the anterior mandible is described. This technique is simple to use, has minimal morbidity, and has produced good preliminary results. Retrospectively, 18 patients with a total of 36 implants were reviewed. An implant success rate of 91.6% w...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0901-5027(96)80026-9

    authors: McGrath CJ,Schepers SH,Blijdorp PA,Hoppenreijs TJ,Erbe M

    更新日期:1996-06-01 00:00:00

  • High proliferative activity and chromosomal instability in oral lichen planus.

    abstract::The study aimed to assess the proliferative activity and karyotype in Oral Lichen Planus (OLP) lesions. G-banding chromosomal analysis of short-term primary cultures, and immunohistochemical expression of Ki67 and p53 were applied in 30 consecutive OLP patients divided into two groups according to clinical presentatio...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2006.07.018

    authors: Montebugnoli L,Farnedi A,Marchetti C,Magrini E,Pession A,Foschini MP

    更新日期:2006-12-01 00:00:00

  • Haemophilic pseudotumour of the mandible: report of three cases.

    abstract::A haemophilic pseudotumour is basically an encapsulated haematoma. It is an infrequent complication, estimated to affect 1-2% of severe haemophiliacs, although it has also been reported in patients with mild and moderate haemophilia. A history of trauma is reported in most cases, and the onset of symptoms varies from ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2006.10.002

    authors: Rey EA,Puia S,Bianco RP,Pinto MT

    更新日期:2007-06-01 00:00:00

  • Three-phase bone scintigraphy and viability of vascularized bone grafts for mandibular reconstruction.

    abstract::Three-phase bone scintigraphy was undertaken to check the anastomotic patency and monitor the viability of vascularized bone grafts. Ten consecutive patients who underwent vascularized bone grafting of the mandible were reviewed. A successful clinical outcome was achieved in 8 patients. The graft failed in 2 patients....

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:

    authors: Harada H,Takinami S,Makino S,Kitada H,Yamashita T,Notani K,Fukuda H,Nakamura M

    更新日期:2000-08-01 00:00:00

  • Condylar injury: magnetic resonance imaging findings of temporomandibular joint soft-tissue changes.

    abstract::Recent studies have suggested magnetic resonance imaging (MRI) as useful in the evaluation of soft-tissue changes that occur in the temporomandibular joint (TMJ) after acute condylar trauma. The aim of this study was to investigate whether MRI findings of disc displacement, capsular tear and haemarthrosis are linked t...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2006.09.013

    authors: Gerhard S,Ennemoser T,Rudisch A,Emshoff R

    更新日期:2007-03-01 00:00:00

  • Peripheral ameloblastoma with metastasis.

    abstract::Peripheral ameloblastoma is an uncommon clinical entity, while ameloblastoma with distant metastasis is still more unusual. A case of peripheral ameloblastoma with left supraclavicular lymph node metastasis is presented here. ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0901-5027(87)80131-5

    authors: Lin SC,Lieu CM,Hahn LJ,Kwan HW

    更新日期:1987-04-01 00:00:00

  • Applications of the lateral vastus muscle flap.

    abstract::The lateral vastus muscle flap has the potential to become one of the most appropriate free flaps for reconstructive surgery in the oral maxillofacial area in selected cases. The flap is relatively easy to harvest and gives rise to little donor site morbidity. The quality of the large diameter vessels allows for relat...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0901-5027(05)80222-x

    authors: Wolff KD,Metelmann HR

    更新日期:1992-08-01 00:00:00

  • Maxillary giant cell tumour associated with Paget's disease of bone.

    abstract::A case involving the rare occurrence of a maxillary giant cell tumour in association with Paget's disease is reported. Surgical treatment consisted of a combined intraoral and temporal approach for tumour resection with temporalis muscle flap reconstruction of the maxilla. The postoperative course was complicated by a...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0901-5027(05)80292-9

    authors: Hoffman CD,Huntley TA,Wiesenfeld D,Kleid S,Kung IT

    更新日期:1994-06-01 00:00:00

  • Effects of pulsed electromagnetic fields on swelling and pain after implant surgery: a double-blind, randomized study.

    abstract::The aim of this split-mouth, double-blind, randomized study was to determine whether pulsed electromagnetic field therapy (PEMF) can improve swelling and the management of pain after full-arch immediate loading implant surgery. Eleven patients were selected for the study. Each patient received four distal tilted impla...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijom.2015.10.011

    authors: Menini M,Bevilacqua M,Setti P,Tealdo T,Pesce P,Pera P

    更新日期:2016-03-01 00:00:00

  • Multiple primary tumours in oral cancer.

    abstract::In 210 cases of oral cancer, 38 (17.6%) second primary tumours were found. Males had a higher chance of developing a second primary than females (21.4% versus 12%). The difference was not statistically significant (p = 0.11). When the index tumour was in the lower part of the oral cavity (floor of mouth, retromolar tr...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0300-9785(86)80015-1

    authors: de Vries N,Van der Waal I,Snow GB

    更新日期:1986-02-01 00:00:00

  • Complete spontaneous regression of a metastatic melanoma of the mandible: a case report and follow-up recommendations.

    abstract::Regression of metastatic melanoma is very rare and occurs in only 0.23% of cases. Metastasis to the oral cavity is particularly uncommon and accounts for only 1-3% of all oral malignancies. This report presents a case of spontaneous and complete regression of a metastatic melanoma in the mandibular ramus. The patient ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2018.06.007

    authors: Schlabe J,Shah KA,Sheerin F,Payne MJ,Fasanmade AA

    更新日期:2018-12-01 00:00:00

  • Screening for maternal coeliac disease as a potential risk factor for orofacial clefts--a pilot study.

    abstract::There is increasing evidence that dietary folic acid deficiency in utero may increase the risk of developing the 'cleft lip with or without cleft palate' (CL±P) variant of orofacial cleft. Coeliac disease is a common cause of folic acid malabsorption, and in the majority of cases remains undiagnosed. This pilot study ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2013.03.021

    authors: Reddy SG,Reddy RR,Vaidhyanathan A,Markus A,Snook J

    更新日期:2013-11-01 00:00:00

  • Immediate, non-submerged, root-analogue zirconia implant in single tooth replacement.

    abstract::This report demonstrates the successful clinical use of a modified root-analogue zirconia implant for immediate single tooth replacement. A right maxillary premolar was removed and a custom-made, root-analogue, roughened zirconia implant with macro-retentions in the interdental space was fabricated and placed into the...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2007.11.008

    authors: Pirker W,Kocher A

    更新日期:2008-03-01 00:00:00

  • The effect of direction of force to the craniofacial skeleton on the severity of brain injury in patients with a fronto-basal fracture.

    abstract::The skull base is uniquely positioned to absorb force imparted to the craniofacial skeleton, thereby reducing brain injury. Less well understood is the effect of the direction of force imparted to the craniofacial skeleton on the severity of brain injury. Eighty-one patients from two UK major trauma centres who sustai...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijom.2016.01.016

    authors: Stephens JR,Holmes S,Bulters D,Evans BT

    更新日期:2016-07-01 00:00:00

  • Salivary duct carcinoma in the submandibular region.

    abstract::A case of salivary duct carcinoma arising in the submandibular region of an 83-year-old man is presented. Histologically, the tumour consisted of solid cell nests with ductal structures. Tumour cell nests showed central comedonecrosis. Immunohistochemically, the tumour cells were positive for keratin and epithelial me...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1054/ijom.2002.0343

    authors: Toyoda H,Yamaguchi K,Miura K,Fukuda H,Hashimoto K

    更新日期:2003-08-01 00:00:00

  • PCNA, Ki-67 and p53 expressions in submandibular salivary gland tumours.

    abstract::Salivary gland tumours are uncommon with a broad heterogeneity. The most common benign tumour is the pleomorphic adenoma, whereas mucoepidermoid carcinoma and adenoid cystic carcinoma predominate among the malignancies. Most salivary gland tumours occur in the parotid, and consequently clinical and biological data are...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2004.01.010

    authors: Alves FA,Pires FR,De Almeida OP,Lopes MA,Kowalski LP

    更新日期:2004-09-01 00:00:00

  • Evaluation of the screw tent-pole technique for the repair of anterior maxilla width defects: a prospective, randomized, split-mouth study.

    abstract::The aim of this prospective study was to compare horizontal bone augmentation in the anterior maxilla associated with two types of tenting screw used in the screw tent-pole technique. Ten patients with a premaxilla width deficiency underwent grafting with protein-free xenograft bone. A split-mouth design was used, wit...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2020.10.008

    authors: Guillen GA,Araújo ALD,Macêdo FGC,Groppo FC,Vargas PA,Nóia CF

    更新日期:2020-12-04 00:00:00

  • A case of tumoural calcinosis in the temporomandibular joint associated with systemic sclerosis.

    abstract::Systemic sclerosis (SSc) is a relatively rare condition characterized by the excessive production and deposition of collagen within tissue. This condition is thought to be immunologically mediated and, in addition to its notorious cutaneous manifestations, often involves multiple organs. A case is presented of systemi...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2007.07.025

    authors: Chikazu D,Mori Y,Saijo H,Fujihara H,Ko EC,Hikiji H,Yonehara Y,Takato T

    更新日期:2008-02-01 00:00:00

  • Morphological features of cartilage observed during mandibular distraction in rabbits.

    abstract::Ossification during distraction osteogenesis can be classified as intramembranous or endochondral. It is not known whether cartilage in the distraction gap is transformed into new bone. The aim of this study was to investigate the morphological features of ossification in the transition of cartilage to bone during man...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2006.09.018

    authors: Furuta N,Yoshioka I,Fukuizumi T,Tominaga K,Nishihara T,Fukuda J

    更新日期:2007-03-01 00:00:00

  • Catenin expression in T1/2 carcinomas of the floor of the mouth.

    abstract::Reduction of the expression of catenin is a crucial step in the pathogenesis, progression and prognosis of many epithelial cancers including squamous cell carcinomas (SCCs). Catenin expression in oral carcinomas was evaluated in relation to clinico-pathological features in order to determine its value as a prognostic ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2005.03.010

    authors: Fillies T,Buerger H,Gaertner C,August C,Brandt B,Joos U,Werkmeister R

    更新日期:2005-12-01 00:00:00

  • Treatment of the nasal abnormalities of Hallermann-Streiff syndrome by lipofilling.

    abstract::Hallermann-Streiff syndrome (HSS) is a rare congenital abnormality affecting mostly the head and face area. Craniofacial deformities, which are present in 98-99% of cases, are the principal abnormalities detected. We focus here on a particular subset of these deformities: atrophy of the skin of the centre of the face ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2015.06.020

    authors: Bénateau H,Rocha CS,Rocha Fde S,Veyssiere A

    更新日期:2015-10-01 00:00:00

  • Silver-binding nucleolar organizing regions: a study of oral leukoplakia and squamous cell carcinoma.

    abstract::Silver-binding nucleolar organizing regions (AgNORs) in normal oral buccal mucosa epithelium, oral leukoplakia, and oral squamous cell carcinoma (SCC) were studied. The mean AgNOR count per nucleus increased from healthy mucosa to leukoplakia to SCC. Tissues showing dysplasia in leukoplakia and SCC cases showed higher...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/s0901-5027(05)80060-8

    authors: Chattopadhyay A,Chawda JG,Doshi JJ

    更新日期:1994-12-01 00:00:00

  • Sinus lift approach for the retrieval of root fragments from the maxillary sinus.

    abstract::A new application of a well-known technique; lateral wall sinus approach, to remove a root fragment from the maxillary sinus with minimal damage to the epithelial lining and anterior face of maxilla is described. The technique presented in this article helps eliminate some of the complications associated with Caldwell...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1054/ijom.2002.0280

    authors: Uckan S,Buchbinder D

    更新日期:2003-02-01 00:00:00

  • Buccal plate preservation with immediate post-extraction implant placement and provisionalization: preliminary results of a new technique.

    abstract::Bone resorption and remodelling are inevitable sequelae of dental extraction and begin immediately after the extraction procedure. The buccal plate is especially predisposed to these phenomena, and if affected, may result in an increased risk of facial soft-tissue recession and other adverse clinical effects that may ...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2012.11.009

    authors: Caiazzo A,Brugnami F,Mehra P

    更新日期:2013-05-01 00:00:00

  • Tempromandibular joint (TMJ) response to intra-articular dexamethasone injection following mechanical arthropathy: a histological study in rats.

    abstract::The purpose of this study was to evaluate as well as to compare the effect of intra-articular versus intra-peritoneal injection of dexamethasone on synovitis induced by trauma to the rat's TMJ. Twenty-seven male Wister rats were included in the present study. Induced forced condylar hypermobility achieved through open...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章

    doi:10.1016/j.ijom.2004.05.004

    authors: El-Hakim IE,Abdel-Hamid IS,Bader A

    更新日期:2005-05-01 00:00:00

  • Comparison of auto-fluorescence and tetracycline fluorescence for guided bone surgery of medication-related osteonecrosis of the jaw: a randomized controlled feasibility study.

    abstract::Recent studies have indicated that bone shows auto-fluorescence under an appropriate fluorescence lamp. The aim of this preliminary study was to compare the success rates of the established tetracycline fluorescence-guided bone surgery with auto-fluorescence-guided bone surgery in the treatment of medication-related o...

    journal_title:International journal of oral and maxillofacial surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijom.2016.10.008

    authors: Ristow O,Otto S,Geiß C,Kehl V,Berger M,Troeltzsch M,Koerdt S,Hohlweg-Majert B,Freudlsperger C,Pautke C

    更新日期:2017-02-01 00:00:00