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Third molar extraction is a common dental procedure, offently related with pain and swelling. The purpose of this study is to evaluate if Meloxicam has a better effect relieving pain after the extraction than Ibuprofen, one of the most common pain relieving drugs administered after this procedure.
Summary: Third molar extractions are one of the most common procedures in dental practice. However, pain and swelling as postoperative sequelae are inevitable. Depending on the level of pain, which can range from moderate to severe, this symptomatology can be accompanied with pharmacological treatment, thus generating a less traumatic recovery for the patient. It is currently known that non-steroidal anti-inflammatory drugs (NSAIDs) have proven to be effective for the treatment of mild and moderate postoperative pain. Due to the wide variety of NSAIDs, it is important to know how to choose the most effective option when indicating one therapeutic option over another.
Objective: To evaluate the postoperative analgesic effectiveness of meloxicam (7.5 mg) compared to ibuprofen (400 mg) in patients undergoing third molar(s) extraction.
Design: Randomized controlled clinical trial, double-masked, designed according to CONSORT guideline requirements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A control. Ibuprofen | Active Comparator | Ibuprofen 400mg tablets, 1 every 8 hours for 3 days will be administered for post-surgical pain. |
|
| Group B experimental. Meloxicam | Active Comparator | Meloxicam 7.5mg tablets, 1 every 12 hours for 3 days will be administered for post-surgical pain. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| meloxicam 7,5mg | Drug | Comparison of analgesic efficacy of Meloxicam Vs Ibuprofen |
|
| Measure | Description | Time Frame |
|---|---|---|
| Meloxicam effectiveness for post-surgical pain control. | A visual analogue scale ranging from 0 points (no pain) to 10 points (intolerable pain) will be used to measure post-exodontic pain, and values will be recorded on a questionnaire. | 3 days |
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Inclusion Criteria:
Maxillary or mandibular third molar with semi or fully erupted crown.
Exclusion Criteria:
Patients with Systemic pathologies. Presence of third molar localized infection. Completely included third molar crown. Periodontal compromise. Pregnant or breastfeeding women. Patients with hypersensitivity to NSAIDs. Patients with a history of drug abuse. Patients who had taken any drug in the previous 24 hours. Intervention (exodontia) time longer than 45 minutes.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carla C Bertran, DDS | Contact | 56632228028 | carlabertran@yahoo.com | |
| Ruth R Falcón | Contact | 56 940376396 | ruth.falcon@alumnos.uach.cl |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35389917 | Background | Haffar A, Fillingham YA, Breckenridge L, Gursay D, Lonner JH. Meloxicam versus Celecoxib for Postoperative Analgesia after Total Knee Arthroplasty: Safety, Efficacy and Cost. J Am Acad Orthop Surg Glob Res Rev. 2022 Apr 5;6(4):e22.00032. doi: 10.5435/JAAOSGlobal-D-22-00032. | |
| 31026419 | Background | Iqbal AM, Shetty P. Effect of Submucosal Injection of Tramadol on Postoperative Pain After Third Molar Surgery. J Oral Maxillofac Surg. 2019 Sep;77(9):1752-1759. doi: 10.1016/j.joms.2019.03.029. Epub 2019 Mar 29. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 10, 2025 | |
| Reset | Feb 4, 2025 | |
| Release | Sep 13, 2025 | |
| Reset | Sep 29, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 10, 2025 | Feb 4, 2025 | |||
| Sep 13, 2025 |
| ID | Term |
|---|---|
| D014098 | Toothache |
| D012678 | Sensation Disorders |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D005157 | Facial Pain |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D007052 | Ibuprofen |
| ID | Term |
|---|---|
| D010666 | Phenylpropionates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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| 26414123 | Background | Moore RA, Derry S, Aldington D, Wiffen PJ. Single dose oral analgesics for acute postoperative pain in adults - an overview of Cochrane reviews. Cochrane Database Syst Rev. 2015 Sep 28;2015(9):CD008659. doi: 10.1002/14651858.CD008659.pub3. |
| 21350618 | Background | Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. J Pharmacol Pharmacother. 2010 Jul;1(2):100-7. doi: 10.4103/0976-500X.72352. No abstract available. |
| 34922724 | Background | Vallecillo C, Vallecillo-Rivas M, Galvez R, Vallecillo-Capilla M, Olmedo-Gaya MV. ANALGESIC EFFICACY OF TRAMADOL/DEXKETOPROFEN VS IBUPROFEN AFTER IMPACTED LOWER THIRD MOLAR EXTRACTION: A RANDOMIZED CONTROLLED CLINICAL TRIAL. J Evid Based Dent Pract. 2021 Dec;21(4):101618. doi: 10.1016/j.jebdp.2021.101618. Epub 2021 Jul 28. |
| Sep 29, 2025 |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009422 | Nervous System Diseases |