Skip to main content
Anesthesia Progress logoLink to Anesthesia Progress
. 1997 Spring;44(2):49–54.

A pilot study comparing ketoprofen and acetaminophen with hydrocodone for the relief of postoperative periodontal discomfort.

K L Reed 1, J R Smith 1, T Lie 1, D F Adams 1
PMCID: PMC2148829  PMID: 9481960

Abstract

The aim of this study was to compare ketoprofen to acetaminophen with hydrocodone (A/H) in a postoperative periodontal pain model. A double-blind protocol was used. Thirty minutes prior to each procedure, subjects were given orally either 100 mg ketoprofen or a placebo tablet. Four hours later, the subjects took either 50 mg ketoprofen (ketoprofen group) or 1000 mg acetaminophen with 10 mg hydrocodone (placebo group). Subjects reported levels of overall discomfort and pain using visual analog scales at eight hourly intervals following the first dose of ketoprofen or placebo. Information about adverse side effects was requested from the patients in the form of a checklist. The results revealed only small differences between the two drug regimens with respect to levels of pain or overall discomfort. A/H provided significantly better pain relief at Hours 5 and 6, while overall discomfort levels were significantly higher with ketoprofen than with placebo at Hours 3 and 4. Pain levels were low for both groups. It is recommended that additional analgesics for mild to moderate pain should be tested.

Full text

PDF
49

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Benoit P., Michelet F. X., Pinsolle J., Barthou B. Intéret thérapeutique d'un nouvel anti-inflammatoire, le kétoprofene en chirurgie maxillo-faciale et en stomatologie. Rev Odontostomatol Midi Fr. 1980;38(3):177–185. [PubMed] [Google Scholar]
  2. Cailleteau J. G. Ketoprofen in dentistry: a pharmacologic review. Oral Surg Oral Med Oral Pathol. 1988 Nov;66(5):620–624. doi: 10.1016/0030-4220(88)90386-6. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. Cowan F. F., Jr New ways to handle pain. J Oreg Dent Assoc. 1989 Summer;58(4):26–29. [PubMed] [Google Scholar]
  5. Day R. O. Mode of action of non-steroidal anti-inflammatory drugs. Med J Aust. 1988 Feb 15;148(4):195–199. [PubMed] [Google Scholar]
  6. Dionne R. A., Wirdzek P. R., Fox P. C., Dubner R. Suppression of postoperative pain by the combination of a nonsteroidal anti-inflammatory drug, flurbiprofen, and a long-acting local anesthetic, etidocaine. J Am Dent Assoc. 1984 Apr;108(4):598–601. doi: 10.14219/jada.archive.1984.0385. [DOI] [PubMed] [Google Scholar]
  7. Flath R. K., Hicks M. L., Dionne R. A., Pelleu G. B., Jr Pain suppression after pulpectomy with preoperative flurbiprofen. J Endod. 1987 Jul;13(7):339–347. doi: 10.1016/S0099-2399(87)80116-4. [DOI] [PubMed] [Google Scholar]
  8. Forbes J. A., Beaver W. T., White E. H., White R. W., Neilson G. B., Shackleford R. W. Diflunisal. A new oral analgesic with an unusually long duration of action. JAMA. 1982 Nov 5;248(17):2139–2142. doi: 10.1001/jama.248.17.2139. [DOI] [PubMed] [Google Scholar]
  9. Hargreaves K. M., Troullos E. S., Dionne R. A. Pharmacologic rationale for the treatment of acute pain. Dent Clin North Am. 1987 Oct;31(4):675–694. [PubMed] [Google Scholar]
  10. Hochberg M. C. NSAIDS: mechanisms and pathways of action. Hosp Pract (Off Ed) 1989 Mar 15;24(3):185-90, 195, 198. doi: 10.1080/21548331.1989.11703684. [DOI] [PubMed] [Google Scholar]
  11. Hujoel P. P., Loesche W. J. Efficiency of split-mouth designs. J Clin Periodontol. 1990 Nov;17(10):722–728. doi: 10.1111/j.1600-051x.1990.tb01060.x. [DOI] [PubMed] [Google Scholar]
  12. Pappalardo G., Caltabiano M., Bella G. Ricerche di sperimentazione clinica sull'impiego dell'acido 2-(3-benzoilfenil) - propionico o Ketoprofen coadiuvante l'azione antibiotica in chirurgia orale. Riv Ital Stomatol. 1978 Jul-Aug;47(7-8):14–25. [PubMed] [Google Scholar]
  13. Quiding H., Oikarinen V., Sane J., Sjöblad A. M. Analgesic efficacy after single and repeated doses of codeine and acetaminophen. J Clin Pharmacol. 1984 Jan;24(1):27–34. doi: 10.1002/j.1552-4604.1984.tb01810.x. [DOI] [PubMed] [Google Scholar]
  14. Smith D. H., Ammons W. F., Jr, Van Belle G. A longitudinal study of peridontal status comparing osseous recontouring with flap curettage. I. Results after 6 months. J Periodontol. 1980 Jul;51(7):367–375. doi: 10.1902/jop.1980.51.7.367. [DOI] [PubMed] [Google Scholar]
  15. Torabinejad M., Bakland L. K. Prostaglandins: their possible role in the pathogenesis of pulpal and periapical diseases, part 2. J Endod. 1980 Oct;6(10):769–776. doi: 10.1016/S0099-2399(80)80107-5. [DOI] [PubMed] [Google Scholar]
  16. Ueno T., Shimizu M., Ishibashi T., Ojima F., Ohtani T. [A double blind comparative study of analgesic and anti-inflammatory agent, ketoprofen on acute-inflammatory diseases in oral surgery (author's transl)]. Nihon Koku Geka Gakkai Zasshi. 1975;21(2):238–247. doi: 10.5794/jjoms.21.238. [DOI] [PubMed] [Google Scholar]
  17. Vane J., Botting R. Inflammation and the mechanism of action of anti-inflammatory drugs. FASEB J. 1987 Aug;1(2):89–96. [PubMed] [Google Scholar]
  18. White R. K., Montgomery S. Leukotrienes: inflammatory mediators--a review. Oral Surg Oral Med Oral Pathol. 1986 May;61(5):514–518. doi: 10.1016/0030-4220(86)90397-x. [DOI] [PubMed] [Google Scholar]
  19. van der Bijl Non-steroidal anti-inflammatory drugs (NSAID'S) as analgesics in dentistry - a review. J Dent Assoc S Afr. 1983 Jul;38(7):419–426. [PubMed] [Google Scholar]

Articles from Anesthesia Progress are provided here courtesy of American Dental Society of Anesthesiology

RESOURCES