Impacto del efecto analgésico en pacientes postoperatorio del tercer molar inferior en clínica integral.

Abstract

Introduction: The surgical extraction of the impacted lower third molars is an invasive procedure associated with adverse effects such as pain, swelling, and trismus. Effective management of postoperative pain remains a constant challenge for professionals. Currently, there is a wide range of analgesic and anti-inflammatory drugs available to alleviate discomfort following surgical extraction. Objective: To evaluate the impact of analgesic effects in patients undergoing lower third molar extraction at the Comprehensive Clinic of the Catholic University of Santiago de Guayaquil during the B-2024 period. Materials and Methods: Observational, cross-sectional research with a quantitative and descriptive approach. The study included 102 third molar extractions from 73 patients. The effects of 500 mg Paracetamol, 600 mg Ibuprofen, and Ketorolac at doses of 20 mg and 30 mg were assessed. Post extraction pain intensity was measured using the Spanish version of The Brief Pain Inventory questionnaire, while the degree of complexity was evaluated using the Pedersen scale. Results: Ketorolac at 30 mg provided effective control of postoperative pain with prolonged action over time. No significant differences in pain intensity were found between the evaluated drugs, although Ketorolac at 20 mg showed the best results. Paracetamol was observed to be a viable option due to its safety profile and lack of adverse effects. Conclusion: These findings support the importance of tailoring analgesic treatment to the patient's needs and the surgical procedure.