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The main aim of the study is to investigate the pre-emptive effect of dexamethasone and diclofenac associated to codeine to prevent the pain, edema and limited mouth opening at the extraction of third molar.
The surgery of third molar is usually associated with important post-surgical sequelae. The damage caused to tissue and bone may result in considerable pain, edema and trismus. The symptoms start gradually, peaking in 2 days after the extraction. The use of medications such as dexamethasone and diclofenac associated to codeine may support the prevention of post-surgical pain. This clinical trial aim compare the the pre-emptive effect of dexamethasone and diclofenac associated to codeine to prevent the pain, edema and limited mouth opening at the extraction of third molar.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexamethasone | Active Comparator | Dexamethasone 8 mg, one capsule single preoperative dose. |
|
| Diclofenac Sodium associated with Codeine | Experimental | Diclofenac Sodium 50 mg associated with Codeine 50 mg, one capsule single preoperative dose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexamethasone | Drug | Dexamethasone 8 mg |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Post-surgical swelling of third molar extraction determined using linear measures in the face | During the post-surgical intervals of 24, 48 and 72 hours and seven days, the swelling was determined using linear measures in the face. | Up to seven days post-surgical |
| Post-surgical trismus of third molar extraction determined by maximum mouth opening | During the post-surgical intervals of 24, 48 and 72 hours and seven days, the trismus was determined by maximum mouth opening. | Up to seven days post-surgical |
| Post-surgical pain of third molar extraction using visual analogic scale | The post-surgical pain was self-recorded by the patient using visual analogic scale in intervals of 24, 48 and 72 hours and seven days. | Up to seven days post-surgical |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic consumption | Up to seven days post-surgical | |
| Duration of surgery | Up to seven days post-surgical |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thiago Lima | Federal University of the Valleys of Jequitinhonha and Mucuri | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade Federal dos Vales do Jequitinhonha e Mucuri | Diamantina | Minas Gerais | 39100000 | Brazil |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D004487 | Edema |
| D014313 | Trismus |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013035 | Spasm |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| C018038 | dexamethasone acetate |
| D003061 | Codeine |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| Diclofenac Sodium associated with Codeine | Drug | Diclofenac Sodium 50 mg associated with Codeine 50 mg |
|
| D020879 | Neuromuscular Manifestations |
| D009422 | Nervous System Diseases |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |