Corticosteroids and non-steroidal anti-inflammatory drugs in oral surgery: indication for use
DOI:
https://doi.org/10.33448/rsd-v11i11.33552Keywords:
Corticosteroids; Anti-inflammatory agents, non-steroidal; Surgery, oral.Abstract
Corticosteroids and non-steroidal anti-inflammatory drugs are widely prescribed for oral surgery, but each has its own function. Therefore, this study aims to compare these two classes of drugs, observing where each is best applied, its indications and its effects in the face of oral surgery. This article refers to a narrative literature review, the articles used as reference were found through descriptors searched in PubMed, Google Scholar, SciELO and Portal BVS, in which of all articles searched, 21 articles were included for the preparation of the same. The literature describes that the use of corticosteroids is preemptively recommended to prevent edema, trismus and pain, however non-steroidal anti-inflammatory drugs are used postoperatively to obtain analgesia, also taking into account that the combined use of the two classes of drugs showed efficacy for preventive treatment of acute postoperative pain. Thus, it can be observed in this article that the corticosteroid class was better for use in the preoperative period, as there is a decrease in edema, trismus and pain, however, it can be concluded that the non-steroidal anti-inflammatory drug is favorable for its use in the preoperative period postoperative period to reduce or eliminate the pain that the patient may experience after surgery.
References
Alcântara, C. E. P., Falci, S. G. M., Oliveira-Ferreira, F., Santos, C. R. R., & Pinheiro, M. L. P. (2014). Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: A split-mouth randomized triple-blind clinical trial. International Journal of Oral and Maxillofacial Surgery, 43(1), 93–98. https://doi.org/10.1016/j.ijom.2013.05.016
Almeida, R. D. A. C., Lemos, C. A. A., Moraes, S. L. D. De, Pellizzer, E. P., & Vasconcelos, B. C. (2018). Efficacy of corticosteroids versus placebo in impacted third molar surgery: systematic review and meta-analysis of randomized controlled trials. International Journal of Oral & Maxillofacial Surgery, 48(1), 118–131. https://doi.org/10.1016/j.ijom.2018.05.023
Al-Shamiri, H. M., Shawky, M., & Hassanein, N. (2017). Comparative assessment of preoperative versus postoperative dexamethasone on postoperative complications following lower third molar surgical extraction. International journal of dentistry, 2017, 1350375. https://doi.org/10.1155/2017/1350375
Bindua, S., Mazumder, S., & Bandyopadhyay, U. (2020). Non-steroidal anti-in fl ammatory drugs ( NSAIDs ) and organ damage : A current perspective. Biochemical Pharmacology, 180, 114-147. https://doi.org/10.1016/j.bcp.2020.114147
Borges, K. C. D. A. V., Silva, P. C. O., Peixoto, F. B., Nogueira, R. V. B., & Peixoto, M. O. B. (2018). Terapêutica medicamentosa em odontologia para pacientes portadores de asma. Revista Da AcBO, 27(1), 17–24.
Fletcher, M. C., & Spera, J. F. (2012). Management of acute postoperative pain after oral sugery. Dental Clinics of NA, 56(1), 95–111. https://doi.org/10.1016/j.cden.2011.09.001
Gerino, J. D. A., Neto, E. F. de O., Ferreira, L. M., Cangussu, M. C. T., Sardinha, S. D. C. S., & Cavalcante, W. C. (2020). Uso de corticoides por cirurgiões bucomaxilofaciais do Brasil. Journal of Health & Biological Sciences, 8(1), 1–5. https://doi.org/10.12662/2317-3076jhbs.v8i1.2991.p1-5.2020
Gonçalves, J. R. (2019). Como escrever um Artigo de Revisão de Literatura. Revista JRG de Estudos Acadêmicos, 2(5), 29-55. https://doi.org/10.5281/zenodo.4319105
Gupta, A., & Bah, M. (2016). NSAIDs in the treatment of postoperative pain. Current Pain and Headache Reports, 20(11), 1–14. https://doi.org/10.1007/s11916-016-0591-7
Laskin, D. M. (2013). Application of current pain management concepts to the prevention and management of postoperative pain. The Journal of the American Dental Association, 144(3), 284–286. https://doi.org/10.14219/jada.archive.2013.0115
Mateus, M. M., Pereira, L. D., Silva, L. P. da, Dias, A. A., Sakamoto, S. P. da S., Marques, S. L. C., Souza, G. B. de, Alves, J. R. de S., Moreira, E. P. A., & Sousa, Z. da S. (2022). Controle farmacológico de complicações em cirurgia de terceiros molares por meio da utilização de anti-inflamatórios não esteroidais combinados ou isolados a opioides. Research, Society and Development, 11(6), e3311628807. https://doi.org/10.33448/rsd-v11i6.28807
Momesso, G. A. C., Grossi-Oliveira, G. A., Silva, W. P. P., Akira, R., Chiba, F., Polo, T. O. B., Neto, T. J. D. L., Rios, B. R., Bassi, A. P. F., Sumida, D. H., Han, M., Miloro, M., & Faverani, L. P. (2021). A triple-blind randomized clinical trial of different associations between dexamethasone and non-steroids anti-inflammatories for preemptive action in third molar extractions. Scientific Reports, 11(1), 1–11. https://doi.org/10.1038/s41598-021-04068-z
Moore, P. A., & Hersh, E. V. (2013). Combining ibuprofen and acetaminophen for acute pain management after third-molar extractions: translating clinical research to dental practice. The Journal of the American Dental Association, 144(8), 898–908. https://doi.org/10.14219/jada.archive.2013.0207
Mundell, L., Lindemann, R., & Douglas, J. (2017). Monitoring long-term oral corticosteroids. BMJ Open Quality, 6(2), e000209. https://doi.org/10.1136/bmjoq-2017-000209
Ngeow, W. C., & Lim, D. (2016). Do corticosteroids still have a role in the management of third molar surgery?. Advances in therapy, 33(7), 1105-1139. https://doi.org/10.1007/s12325-016-0357-y
Noboa, M. M., Ramacciato, J. C., Teixeira, R. G., Vicentini, C. B., Groppo, F. C., & Motta, R. H. L. (2014). Evaluation of effects of two dexamethasone formulations in impacted third molar surgeries. Revista Dor, 15(3), 163–168. https://doi.org/10.5935/1806-0013.20140036
Orozco-Solís, M., García-Ávalos, Y., Pichardo-Ramírez, C., Tobías-Azúa, F., Zapata-Morales, J. R., Aragon-Martínez, O. H., & Isiordia-Espinoza, M. A. (2016). Single dose of diclofenac or meloxicam for control of pain, facial swelling, and trismus in oral surgery. Medicina Oral, Patologia Oral y Cirugia Bucal, 21(1), e127–e134. https://doi.org/10.4317/medoral.20925
Pouchain, E. C., Costa, F. W. G., Bezerra, T. P., & Soares, E. C. S. (2015). Comparative efficacy of nimesulide and ketoprofen on inflammatory events in third molar surgery: A split-mouth, prospective, randomized, double-blind study. International Journal of Oral and Maxillofacial Surgery, 44(7), 876–884. https://doi.org/10.1016/j.ijom.2014.10.026
Silva, R. N. F., & Pereira, L. C. G. (2016). O uso de antiinflamatorios esteroidais e não esteroidais no controle da dor e do edema em cirurgia de terceiros molares. Journal of Dentistry & Public Health (Inactive/Archive Only), 7(1), 31–39. https://doi.org/2238-2720revbahianaodonto.v7i1.769
Trindade, P. A. K., Giglio, F. P. M., Colombini-Ishikiriama, B. L., Calvo, A. M., Modena, K. C. S., Ribeiro, D. A., Dionísio, T. J., Brozoski, D. T., Lauris, J. R. P., Faria, F. A. C., & Santos, C. F. (2012). Sublingual ketorolac and sublingual piroxicam are equally effective for postoperative pain, trismus, and swelling management in lower third molar removal. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 114(1), 27–34. https://doi.org/10.1016/j.tripleo.2011.05.027
Vicente, Â., Loffi, A. O. B., & Nesi, H. (2013). Uso de corticosteroide no pré-operatório em cirurgia de terceiros molares. Revista Brasileira de Odontologia, 70(1), 22–27. https://doi.org/10.18363/rbo.v70n1.p.22
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