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Transdermal diclofenac patches for control of post-extraction pain. Pilot randomized controlled double-blind study

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Abstract

Purpose

The scope of transdermal analgesics have been limited to pain control following local trauma, muscle spasm, minor esthetic surgeries, or sports-related injuries. Its scope of application can be extended in the field of dentistry and minor oral surgical procedures.

Methods

A total of 40 healthy patients between the age of 18 and 50 years with deeply carious, nontender mandibular molar tooth deemed unsalvageable which was indicated for extraction were taken into study of which subjects were divided into cases and controls.

Results

The data were analyzed with chi-square test and Mann–Whitney U test; the chi-square test showed significant association with expected outcome in visual analog scale pain scores, the two groups at 6th and 12th hour. A Mann–Whitney U test was performed to identify strength of association between two groups where there were significant association between all parameters except for pain interference with routine activities and dental health status(0.022, 0.001); the differences between two groups in these parameters were significant (<0.05).

Conclusion

Transdermal route seems to be comparable to oral diclofenac in post-extraction pain relief; further studies are required to confirm the results and safety for its use in various other dental situations.

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Acknowledgments

The authors would like to declare that there is no conflict of interest in the making of this article. There is no financial interest or association of any of the authors with the various commercial names mentioned in the article.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi, 110002, India

    Sriram Krishnan, Pankaj Sharma, Rakesh Sharma, Mahesh Verma & Zainab Chaudhary

  2. Department of Microbiology, Maulana Azad Medical College, Bahadur Shah Zafar Marg, New Delhi, 110002, India

    Suman Kumar

  3. 77, Pocket E, Mayur Vihar Phase 2, New Delhi, 110091, India

    Sriram Krishnan

Authors
  1. Sriram Krishnan
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  2. Pankaj Sharma
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  3. Rakesh Sharma
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  4. Suman Kumar
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  5. Mahesh Verma
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  6. Zainab Chaudhary
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Correspondence to Sriram Krishnan.

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Krishnan, S., Sharma, P., Sharma, R. et al. Transdermal diclofenac patches for control of post-extraction pain. Pilot randomized controlled double-blind study. Oral Maxillofac Surg 19, 5–12 (2015). https://doi.org/10.1007/s10006-013-0422-5

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  • DOI: https://doi.org/10.1007/s10006-013-0422-5

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