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الخميس 15 جمادى الثانية 1440
Thursday 21st February 2019
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Volume 10 - Issue 6, Nov - Dec 2018
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Comparison of Post-Operative Pain Intensity in Patients Undergoing Impacted Third Molar Surgery with Pre-Operative and Post-Operative Intravenous Ketorolac
Armaghan Israr Mirza, Ali Farooq, Shahid Ali, Muhammad Azeem
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Volume 10 - Issue 6     Nov - Dec 2018
Download Abstract:
OBJECTIVE: To compare post-operative pain intensity in patients undergoing impacted third molar surgery with pre-operative versus post-operative administration of intravenous ketorolac.
STUDY DESIGN: A Qualitative Comparative Analysis.
SETTING: Department of Oral and Maxillofacial Surgery, Punjab Dental Hospital/ de’Montmorency College of Dentistry, Lahore, between 3rd Jan 2017 to 18th Sep 2017.
METHODOLOGY: In a total of 150 patients undergoing third molar surgeries, intravenous administration of ketorolac was done. The patients were divided into two groups. One group received ketorolac pre-operatively while the other received the same immediate post-operatively. Patients were asked to record the pain intensity on a 100mm Visual Analogue Scale after twelve hours of surgery. Anchor points were 0: no pain and 100: worst possible pain.
RESULTS: The mean pain intensity score on VAS for pre-treated group was 45.14 ±7.94 mm and that of the post-treated group was 52.93 ±7.61 mm. The mean pain intensity for both groups was compared using student’s T test for independent variables. Assuming equal variances of the two groups, after comparing the means of pain intensity for the two groups, the result generated had “p” value of 0.000.
CONCLUSION: The pre-operative pre-emptive administration of intravenous ketorolac provides superior pain control post-operatively as compared to the same drug given post-operatively only.
KEYWORDS: Third Molar Surgery, Post-Operative Pain, Pre-Emptive Analgesia, Ketorolac, NSAIDs.
Mirza AI, Farooq A, Ali S, Azeem M. Comparison of Post-Operative Pain Intensity in Patients Undergoing Impacted Third Molar Surgery with Pre-Operative and Post-Operative Intravenous Ketorolac.Isra Med J. 2018; 10(6): 327-330.

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