- Authors: Dionne RA.
- Title: New approaches to preventing and treating postoperative pain.
- Journal: J Am Dent Assoc
- Date: Jun 1992
- Citation: 123(6):26-34
- Category: Endodontic Emergencies
- Evidence-based Ranking: 5
- Purpose/Objectives: A summary of currently recommended analgesic guidelines
Summary: The oral surgery model of drug testing allows for a greater increase in controlling variables then previously used models.
Key Points Pre-operative administration of an NSAID reduces post operative pain significantly Use of longer lasting local anesthetics (etidocaine, bupivicaine) results in less pain Using these together results in less pain than if used alone Codeine is relatively in-effective until a dose of 60mg is used at which point side affects increase The most effective regimen is 800mg ibuprofen pre-operatively followed with by-the-clock dosing If unable to use NSAIDS or in cases of sever pain consider using the maximum dose of oxycodone (10mg)