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Bilinçli sedasyonun alt gömülü 3. molar dişlerin çekimi sonrası hasta konforu üzerine etkisi

Year 2012, Volume: 15 Issue: 4, 312 - 319, 04.05.2012

Özkan Özgül , Selahattin Or

https://doi.org/10.7126/cdj.2012.1532
Cited By: 1

Abstract

Amaç: Gömülü dişlerin cerrahi çekimi sonrası
oluşan ödem, ağrı ve trismusun şiddetinin kontrol
altına alınması için farmakolojik ve/ veya çekim
tekniği ile ilgili birçok yöntem kullanılmış olup
halen de kullanılmaya devam etmektedir. Bilinçli
sedasyon destekli lokal anestezi uygulamaları
hastaların daha konforlu bir operasyon geçirmesini
sağlamakta, ancak postoperatif dönemdeki hasta
konforuna olan katkısı bilinmemektedir. Bu
çalışmada amaç; bilinçli sedasyon uygulamasının
gömülü 3. molar çekimi sonrası oluşan ağrıya ve
ödeme etkisini yalnız lokal anestezi ile
gerçekleştirilen operasyonlarla kaşılaştırmak ve
sayısal verilere dökerek istatistiksel olarak analiz
etmektir.
Gereç ve Yöntem: Çift kör randomize yapılan
çalışmada gömülü alt 3. molar dişlerin cerrahi
çekimi gereken 18- 36 yaş (ort.24,4) aralığında
toplam 40 hasta 2 eşit gruba ayrılarak; ilk grubun
çekimleri bilinçli sedasyon altında lokal anestezi
ile, ikinci grubun ise yalnız lokal anestezi ile
çekimleri yapılmıştır. 6.12. ve 24. saatler de VAS
değerlerine ve 48. saatte ödem miktarlarına
bakılmıştır.
Bulgular: Lokal anestezi ile operasyonları
yapılmış kişilerin ödem miktarları, bilinçli sedasyon
ile operasyonları yapılmış bireylerden istatistiksel
olarak anlamlı derecede yüksek görülmektedir
(p < 0,05) (p=0,000). Bilinçli sedasyon ile
operasyonları yapılan hastaların 12.saat ve
24.saatteki ağrı değerleri yalnız lokal anestezi ile
operasyonları yapılmış hastalara göre istatistiksel
olarak anlamlı derecede düşük görülmüştür
(p < 0,05) (p=0,028) (p=0,036).
Sonuç: Hastaların operasyon sırasındaki ve
sonrasındaki rahatsızlıkları kabul edilir ölçüde
tutmak için bilinçli sedasyon işlemi oldukça
güvenilir bir yöntemdir.

Keywords

Gömülü 3. molar bilinçli sedasyon ağrı ödem

References

  • KAYNAKLAR
  • - Archer WH. Oral and Maxillofacial Surgery, fifth ed, Philadelphia. Saunders Company,1975:250-341.
  • - Amin MM, Laskin DM. Prophylactic use of indomethacin for prevention of postsurgical complications after removal of impacted third molars. Oral Surg Oral Med Oral Pathol 1983;55: 448-451
  • - Bagan JV, Lopez JS, Valencıa E. Clinical comparison of dexketoprofen trometamol and dipyrone in postoperative dental pain. J clin pharmacol 1998;38: 55–64.
  • - Björnsson GA, Haanaes HR, Skoglund LA. Naproxen 500 mg bid versus acetaminophen 1000 mg qid: effect on swelling and other acute postoperative events after bilateral third molar surgery. J. Clin pharmacol 2003;43: 849–858.
  • - Spilka CJ. The placebo of corticosteroids and antihistamines in oral surgery. Oral Surg Oral Med Oral Pathol 1961;14:1034–1042.
  • - Malamed SF . Conscious sedation and general anesthesia techniques and drugs used in dentistry. Anesth prog 1986;33:176-178
  • - Ong KS, Seymour A, Tan H. Sedation with midazolam leads to reduced pain after dental surgery. Anesth analg 2004;98:1289-1293.
  • -
  • - Kay B. Total intravenous anaesthesia. Amsterdam. Elsevier Science Publishers. 1991:50-112.
  • - Colarado-bonnın M, Valmeseda-castellon E, Berini-aytes L, Gay-escoda C. Quality of life following lower third molar removal. Int. J oral Maxillofac Surg 2004; 35: 343-347.
  • -
  • - Penarrocha M, Sanchis JM, Saez U, Gay C, Bagan JV. Oral hygiene and postoperative pain after mandibular third molar surgery. Oral surg. Oral med. Oral pathol. Oral. Radiol. Endod 2001;92:260-264.
  • - Jimenez-martinez E, Gasco-garcia C, Arrieta-blanco JJ, Gomez-deltorno J, Bartolome-villar B. Study of the analgesic efficacy of dexketoprofen trometamol 25mg vs. Ibubprofen 600 mg after their administration in patients subjected to oral surgery. Med oral 2004;9:138–148.
  • - Seymour RA, Blair GS, Wyatt FA.. Postoperative dental pain and analgesic efficacy. Part ı, Br J Oral Surg 1983;21:290-297.
  • - Macgregor AJ, Addy A. Value of penicilin in the prevention of pain swellingand trismus and following the removal of ectopic mandibular third molars. Int J Oral Surg 1980;9:166-172.
  • - Yücetaş Ş, Alasya D. Tetrasiklin tozunun alt gömülü yirmi yaş dişlerinin postoperatif komplikasyonları üzerine etkisi AÜ Diş Hek Fak Dergi 1991;18:7-11.
  • - Coulthard P, Rood JP. An investigation of the effect of midozolam on the pain experience. British Journal of Oral and Maxillofacial Surgery 1992;30: 248-251.
  • - Nakanıshı O, Amano Y, Ishıkawa T, Azuma M, Imamura Y. Effects of midazolam on pain sensations in the face. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:11-15.
  • -
  • - Bonnin MC, Castellon EV, Aytes LB, Escoda CG. Quality of life following lower third molar removal. Int. J Oral maxillofac Surg 2005;35:343-347.
  • - Sun Y, Qi D, Zhang B. Inhalation sedation with nitrous oxide in dental extractions. Zhonghua kou qiang yi xue za zhi 1998;33: 24-26.

Year 2012, Volume: 15 Issue: 4, 312 - 319, 04.05.2012

Özkan Özgül , Selahattin Or

https://doi.org/10.7126/cdj.2012.1532
Cited By: 1

Abstract

References

  • KAYNAKLAR
  • - Archer WH. Oral and Maxillofacial Surgery, fifth ed, Philadelphia. Saunders Company,1975:250-341.
  • - Amin MM, Laskin DM. Prophylactic use of indomethacin for prevention of postsurgical complications after removal of impacted third molars. Oral Surg Oral Med Oral Pathol 1983;55: 448-451
  • - Bagan JV, Lopez JS, Valencıa E. Clinical comparison of dexketoprofen trometamol and dipyrone in postoperative dental pain. J clin pharmacol 1998;38: 55–64.
  • - Björnsson GA, Haanaes HR, Skoglund LA. Naproxen 500 mg bid versus acetaminophen 1000 mg qid: effect on swelling and other acute postoperative events after bilateral third molar surgery. J. Clin pharmacol 2003;43: 849–858.
  • - Spilka CJ. The placebo of corticosteroids and antihistamines in oral surgery. Oral Surg Oral Med Oral Pathol 1961;14:1034–1042.
  • - Malamed SF . Conscious sedation and general anesthesia techniques and drugs used in dentistry. Anesth prog 1986;33:176-178
  • - Ong KS, Seymour A, Tan H. Sedation with midazolam leads to reduced pain after dental surgery. Anesth analg 2004;98:1289-1293.
  • -
  • - Kay B. Total intravenous anaesthesia. Amsterdam. Elsevier Science Publishers. 1991:50-112.
  • - Colarado-bonnın M, Valmeseda-castellon E, Berini-aytes L, Gay-escoda C. Quality of life following lower third molar removal. Int. J oral Maxillofac Surg 2004; 35: 343-347.
  • -
  • - Penarrocha M, Sanchis JM, Saez U, Gay C, Bagan JV. Oral hygiene and postoperative pain after mandibular third molar surgery. Oral surg. Oral med. Oral pathol. Oral. Radiol. Endod 2001;92:260-264.
  • - Jimenez-martinez E, Gasco-garcia C, Arrieta-blanco JJ, Gomez-deltorno J, Bartolome-villar B. Study of the analgesic efficacy of dexketoprofen trometamol 25mg vs. Ibubprofen 600 mg after their administration in patients subjected to oral surgery. Med oral 2004;9:138–148.
  • - Seymour RA, Blair GS, Wyatt FA.. Postoperative dental pain and analgesic efficacy. Part ı, Br J Oral Surg 1983;21:290-297.
  • - Macgregor AJ, Addy A. Value of penicilin in the prevention of pain swellingand trismus and following the removal of ectopic mandibular third molars. Int J Oral Surg 1980;9:166-172.
  • - Yücetaş Ş, Alasya D. Tetrasiklin tozunun alt gömülü yirmi yaş dişlerinin postoperatif komplikasyonları üzerine etkisi AÜ Diş Hek Fak Dergi 1991;18:7-11.
  • - Coulthard P, Rood JP. An investigation of the effect of midozolam on the pain experience. British Journal of Oral and Maxillofacial Surgery 1992;30: 248-251.
  • - Nakanıshı O, Amano Y, Ishıkawa T, Azuma M, Imamura Y. Effects of midazolam on pain sensations in the face. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:11-15.
  • -
  • - Bonnin MC, Castellon EV, Aytes LB, Escoda CG. Quality of life following lower third molar removal. Int. J Oral maxillofac Surg 2005;35:343-347.
  • - Sun Y, Qi D, Zhang B. Inhalation sedation with nitrous oxide in dental extractions. Zhonghua kou qiang yi xue za zhi 1998;33: 24-26.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Original Research Articles
Authors

Özkan Özgül

Selahattin Or

Publication Date May 4, 2012
Submission Date May 4, 2012
Published in Issue Year 2012Volume: 15 Issue: 4

Cite

EndNote Özgül Ö, Or S (October 1, 2012) Bilinçli sedasyonun alt gömülü 3. molar dişlerin çekimi sonrası hasta konforu üzerine etkisi. Cumhuriyet Dental Journal 15 4 312–319.

Cited By

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Journal of Stomatology, Oral and Maxillofacial Surgery
Elçin Bedeloğlu
https://doi.org/10.1016/j.jormas.2021.07.002

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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