Estudio comparativo para el manejo del dolor pre y posoperatorio en cirugía de terceros molares.

Abstract

Introduction: Pharmacological treatment for post extraction pain control depends on its intensity. In this way, to achieve the efficacy of the treatment, we must use the parenteral route initially, then continue with the oral route for a maximum of 72 hours. Supportive therapy, which are anxiolytics, is recommended to reduce the perception of pain, and in the case of antibiotic therapy, it is indicated in patients with previous infection. Glucocorticoids are indicated as anti-inflammatories in patients undergoing complex extractions of third molars. Objective: To determine the effectiveness of the use of pain therapy in the pre and post operative period in the surgery of impacted third molars. Materials and Methods: It is a systematic review where metasearch engines such as Google Scholar, Pubmed, Scielo, Medline were used, and the result yielded 37 research articles. Results: Medications for pain control of third molars should be used for a maximum of 72 hours. No differences have been shown in the therapeutic effect of NSAIDs cox 1 and cox 2. Corticosteroids have shown efficacy in anti-inflammatory therapy, so their use is recommended to modulate the inflammatory response. Conclusion: Postoperative pain control depends on the initial administration route and the interval during the following 72 hours, in which case the administered doses depend on the complexity of the surgical procedure performed.