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Revista Facultad de Odontología Universidad de Antioquia
Print version ISSN 0121-246X
Abstract
HERNANDEZ-VIANA, Stefanía; SILVA-GOMEZ, Natalia; GALVIS-PAREJA, David Andrés and MARTINEZ-PABON, María Cecilia. The use of analgesics and anti-inflammatories in an oral surgery service in Medellín, Colombia, 2013-2015. Rev Fac Odontol Univ Antioq [online]. 2019, vol.30, n.2, pp.166-171. ISSN 0121-246X. https://doi.org/10.17533/udea.rfo.v30n2a3.
Introduction:
dental surgical procedures trigger an inflammatory response, for which dental practitioners prescribe analgesic and anti-inflammatory medications using pharmacological guidelines that require knowledge on the use of medicines in a given environment. The aim of the present study was to identify the analgesics and anti-inflammatory drugs most commonly prescribed at the oral surgery service of the Universidad de Antioquia School of Dentistry.
Methods:
this retrospective descriptive study reviewed the clinical records of the oral surgery service in the period January 2013-August 2015. A total of 1,177 records were reviewed, and 709 were selected for analysis.
Results:
53.1% of the drugs prescribed were non-selective Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Ibuprofen was formulated in 26.7% of all cases, followed by nimesulide with 24.1% and the combination of acetaminophen plus meloxicam with 10.2%. This same prescription pattern was observed in patients reporting no additional relevant medical history. In the case of gastric history, nimesulide was the drug of choice. 84% of all procedures were surgical extractions of third molars, with ibuprofen 600 mg postoperative for three days as the main therapeutic scheme.
Conclusion:
ibuprofen, nimesulide, and the combination acetaminophen plus meloxicam were the main analgesics and anti-inflammatory drugs prescribed in this study, according to medical and surgical records.
Keywords : analgesics; anti-inflammatory drugs; medical prescriptions; oral surgical procedures.