Pre-emptive Analgesia Effect in Different Psycho-emotional Status Patients During Lower Third Molar Surgical Extractions
Status:
Completed
Trial end date:
2019-05-30
Target enrollment:
Participant gender:
Summary
To increase the effectiveness of pain control, it is recommended to use drugs before the pain
onset, therefore the pre-emptive analgesia method is considered as a method, which allows
decreasing the post-operative pain to minimum. Previous studies evaluated effectiveness of
pre-emptive analgesia but no relation to psycho-emotional status was addressed. Our authors
believe that the effect of pre-emptive analgesia may vary based on different psycho-emotional
status.
45 volunteers who needed extraction of lower third molars were examined and enrolled in the
study (study group - 15; placebo - 15; control - 15 volunteers). Ibuprofen 400mg together
with 500mg paracetamol was used for pre-emptive analgesia. Difficulty of the operation, heart
rate measurements and operation protocol were documented. Surgeon filled his questionnaire
after the procedure. Patients on consultation, operation day and 10 days postop. filled a
questionnaire which consisted of general, special and pain evaluation sections. Less
favorable psycho-emotional status correlated with more severe pain 6h after operation. This
relation was mostly expressed in the control group. Psycho-emotional status of placebo
patients was accounted for bigger analgesic consumption frequency. Postoperative pain in
study group was minimal compared to other groups. Pre-emptive analgesia enhances patient's
psycho-emotional status and sustains postoperative pain control during lower third molar
surgical extractions.