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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1992 Apr;33(4):395–399. doi: 10.1111/j.1365-2125.1992.tb04057.x

An evaluation of buffered aspirin and aspirin tablets in postoperative pain after third molar surgery.

R A Seymour 1, M Weldon 1, P Kelly 1, E Nicholson 1, J E Hawkesford 1
PMCID: PMC1381328  PMID: 1576068

Abstract

1. Single doses (500 and 1000 mg) of both buffered aspirin and aspirin tablets were compared with placebo in a randomised double-blind trial of parallel design in patients with postoperative pain after third molar surgery. 2. Only buffered aspirin 500 mg provided significant pain relief (P = 0.016) during the 5 h investigation period. 3. A significant correlation (P = 0.004) was observed between overall pain scores after the various aspirin treatments and aspirin esterase activity. 4. Buffered aspirin preparations afforded a slight advantage over aspirin tablets in the control of postoperative pain after third molar surgery. However, the duration of analgesia was short (approximately 2 h). 5. Aspirin esterase activity appears to be an important determinant of the drug's efficacy in postoperative dental pain.

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Selected References

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  1. Cooper S. A., Beaver W. T. A model to evaluate mild analgesics in oral surgery outpatients. Clin Pharmacol Ther. 1976 Aug;20(2):241–250. doi: 10.1002/cpt1976202241. [DOI] [PubMed] [Google Scholar]
  2. Fisher S. E., Frame J. W., Rout P. G., McEntegart D. J. Factors affecting the onset and severity of pain following the surgical removal of unilateral impacted mandibular third molar teeth. Br Dent J. 1988 Jun 11;164(11):351–354. doi: 10.1038/sj.bdj.4806453. [DOI] [PubMed] [Google Scholar]
  3. Göke B., Schmitz-Moormann P., Boehme K., Lange K., Arnold R. Magenverträglichkeit von Acetylsalicylsäure bei Zusatz von Calciumcarbonat. Eine Studie im Zwei-Behandlungen-/Drei-Perioden-Cross-over-Design. Med Klin (Munich) 1989 Oct 15;84(10):474-8, 511. [PubMed] [Google Scholar]
  4. Henrikson P. A., Tjernberg A., Ahlström U., Peterson L. E. Analgesic efficacy and safety of Fenbufen following surgical removal of a lower wisdom tooth: a comparison with acetylsalicylic acid and placebo. J Int Med Res. 1979;7(2):107–116. doi: 10.1177/030006057900700201. [DOI] [PubMed] [Google Scholar]
  5. Holland I. S., Seymour R. A., Ward-Booth R. P., Ord R. A., Lim K. L., Hoare R. C. An evaluation of different doses of soluble aspirin and aspirin tablets in postoperative dental pain. Br J Clin Pharmacol. 1988 Oct;26(4):463–468. doi: 10.1111/j.1365-2125.1988.tb03406.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Lasagna L. Analgesic methodology: a brief history and commentary. J Clin Pharmacol. 1980 May-Jun;20(5-6):373–376. [PubMed] [Google Scholar]
  7. Levy G. Aspirin, absorption rate and analgesic effect. Anesth Analg. 1965 Nov-Dec;44(6):837–841. [PubMed] [Google Scholar]
  8. Matthews J. N., Altman D. G., Campbell M. J., Royston P. Analysis of serial measurements in medical research. BMJ. 1990 Jan 27;300(6719):230–235. doi: 10.1136/bmj.300.6719.230. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rance M. J., Jordan B. J., Nichols J. D. A simultaneous determination of acetylsalicylic acid, salicylic acid and salicylamide in plasma by gas liquid chromatography. J Pharm Pharmacol. 1975 Jun;27(6):425–429. doi: 10.1111/j.2042-7158.1975.tb09472.x. [DOI] [PubMed] [Google Scholar]
  10. Seymour R. A., Meechan J. G., Blair G. S. An investigation into post-operative pain after third molar surgery under local analgesia. Br J Oral Maxillofac Surg. 1985 Dec;23(6):410–418. doi: 10.1016/0266-4356(85)90025-7. [DOI] [PubMed] [Google Scholar]
  11. Seymour R. A., Rawlins M. D. Efficacy and pharmacokinetics of aspirin in post-operative dental pain. Br J Clin Pharmacol. 1982 Jun;13(6):807–810. doi: 10.1111/j.1365-2125.1982.tb01870.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Seymour R. A., Williams F. M., Luyk N. M., Boyle M. A., Whitfield P. M., Nicholson E., Booth P. W., Rawlins M. D. Comparative efficacy of soluble aspirin and aspirin tablets in postoperative dental pain. Eur J Clin Pharmacol. 1986;30(4):495–498. doi: 10.1007/BF00607968. [DOI] [PubMed] [Google Scholar]
  13. Seymour R. A., Williams F. M., Oxley A., Ward A., Fearns M., Brighan K., Rawlins M. D., Jones P. M. A comparative study of the effects of aspirin and paracetamol (acetaminophen) on platelet aggregation and bleeding time. Eur J Clin Pharmacol. 1984;26(5):567–571. doi: 10.1007/BF00543486. [DOI] [PubMed] [Google Scholar]
  14. Skjelbred P. The effects of acetylsalicylic acid on swelling, pain and other events after surgery. Br J Clin Pharmacol. 1984 Apr;17(4):379–384. doi: 10.1111/j.1365-2125.1984.tb02361.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. von Graffenried B., Nüesch E., Maeglin B., Hägler W., Kuhn M. Assessment of analgesics in dental surgery outpatients. Eur J Clin Pharmacol. 1980 Nov;18(6):479–482. doi: 10.1007/BF00874659. [DOI] [PubMed] [Google Scholar]

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