1. Protocolos de medicação pré e pós-operatória para cobertura radicular combinada com enxerto de tecido conjuntivo
- Author
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Fabiano Ribeiro Cirano, Rafaela de Matos, Fernanda Vieira Ribeiro, Ana Paula Oliveira Giorgetti, S.P. Pimentel, and Renato Corrêa Viana Casarin
- Subjects
business.industry ,Visual analogue scale ,General Chemical Engineering ,Significant difference ,Analgesic ,Subepithelial connective tissue graft ,Ibuprofen ,Root coverage ,Edema ,Anesthesia ,medicine ,medicine.symptom ,business ,Dexamethasone ,medicine.drug - Abstract
This trial evaluated the preemptive and postoperative effect of dexamethasone and ibuprofen on prevention of pain/discomfort, edema and interference in daily life in patients undergoing root coverage combined with subepithelial connective tissue graft (CAF + CTG). Twenty patients were randomly assigned as follows: NSAID Group: 400mg Ibuprofen 60 min preemptive + 400mg Ibuprofen postoperative; or SAID Group: 4mg Dexamethasone 60 min preemptive + 4mg Dexamethasone postoperative. The postoperative medication was administered 8 and 16 h post-surgery. Each patient received questionnaires based on a numeric scale (101-point numeric scale rate [NRS-101]) and multiple choice questions (four-point verbal rating scale [VRS-4]) about trans-operative pain/discomfort, hourly for 8 h after surgery and once a day for three days. A Visual Analogue Scale (VAS) for edema and interference in daily life during the 1st, 2nd, 3rd and 7th day was also answered. The degree of anxiety was rated statistically by the Chi-square test. The Mann-Whitney and Friedman tests were used for the other questionnaires. The surgery time and number of analgesic pills consumed were compared using Student’s t-test. Patients who used dexamethasone presented a trend toward less pain when compared to individuals who ingested ibuprofen, with a significant difference observed 3 h after the procedure (p
- Published
- 2020