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Type:	Artigo de Periódico
Title:	Effect of preemptive analgesia with ibuprofen in the control of postoperative pain in dental implant surgeries: a randomized, triple-blind controlled clinical trial
Authors:	Gustavo Henrique Mattos Pereira Rafael Paschoal Esteves Lima Luis Otávio de Miranda Cota Fernando de Oliveira Costa
Abstract:	Preemptive analgesia has as its basic principle the administration of analgesics before the onset of painful stimuli, in order to reduce or prevent postoperative pain, but this question is little explored in implantology. Thus, this study was conducted in order to evaluate the clinical efficacy of ibuprofen in pain prevention after unit implant surgery. Material and Methods For this triple-blind, parallel, placebo-controlled and randomized clinical trial, 54 insertion surgeries of unitary implants were performed. Two groups have received two different protocols 1 hour before surgery: Ibuprofen group (IBU) 600 mg of ibuprofen; and (2) placebo group (maize starch). The intensity of the pain was evaluated through the visual analogue scale (VAS) in 6 times (1, 6, 12, 24, 48 and 72 hours after the surgery). Patients were instructed to take 750 mg of paracetamol as rescue medication, if necessary. The occurrence and the intensity of pain were analyzed by means of an analysis of variance ANOVA with repeated measurements using the general linear model procedure. Results The IBU group had significantly lower VAS scores overall (IBU = 0.30, ± 0.57; placebo = 1.14, ± 1.07; p<0.001) and at all times in the intra, intergroup comparisons and time/group interaction than the placebo group (p<0.001). The use of rescue medication was significantly lower and the postoperative time was longer in the IBU group compared to placebo (p = 0.002). Conclusions The single use of ibuprofen was found to be significantly superior in reducing pain after unit implant surgery compared to placebo.
Subject:	Analgesia Dental implants Ibuprofen Pain measurement Placebos
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	FAO - DEPARTAMENTO DE CLÍNICA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	https://doi.org/10.4317%2Fmedoral.56171
URI:	http://hdl.handle.net/1843/68597
Issue Date:	1-Jan-2020
metadata.dc.url.externa:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969969/
metadata.dc.relation.ispartof:	Journal of Clinical and Experimental Dentistry
Appears in Collections:	Artigo de Periódico

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