The use of analgesics and anti-inflammatories in an oral surgery service in Medellín, Colombia, 2013-2015

Authors

  • Stefanía Hernández-Viana Universidad de Antioquia
  • Natalia Silva-Gómez Universidad de Antioquia
  • David Andrés Galvis-Pareja Universidad CES
  • María Cecilia Martínez-Pabón Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.rfo.v30n2a3

Keywords:

Analgesics, Anti-inflammatory drugs, Medical prescriptions, Oral surgical procedures

Abstract


Introduction: dental surgical procedures trigger an inflammatory response, for which dental practitioners prescribe analgesic and anti-inflammatory medications using pharmacological guidelines that require knowledge on the use of medicines in a given environment. The aim of the present study was to identify the analgesics and anti-inflammatory drugs most commonly prescribed at the oral surgery service of the Universidad de Antioquia School of Dentistry. Methods: this retrospective descriptive study reviewed the clinical records of the oral surgery service in the period January 2013-August 2015. A total of 1,177 records were reviewed, and 709 were selected for analysis. Results: 53.1% of the drugs prescribed were non-selective Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Ibuprofen was formulated in 26.7% of all cases, followed by nimesulide with 24.1% and the combination of acetaminophen plus meloxicam with 10.2%. This same prescription pattern was observed in patients reporting no additional relevant medical history. In the case of gastric history, nimesulide was the drug of choice. 84% of all procedures were surgical extractions of third molars, with ibuprofen 600 mg postoperative for three days as the main therapeutic scheme. Conclusion: ibuprofen, nimesulide, and the combination acetaminophen plus meloxicam were the main analgesics and anti-inflammatory drugs prescribed in this study, according to medical and surgical records.

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Author Biographies

Stefanía Hernández-Viana, Universidad de Antioquia

DDS. School of Dentistry, Universidad de Antioquia, Medellin, Colombia. Private dental practice. 

Natalia Silva-Gómez, Universidad de Antioquia

Ninth semester dental student. School of Dentistry, Universidad de Antioquia, Medellín, Colombia.

David Andrés Galvis-Pareja, Universidad CES

Pharmacology PhD. Pharmacy program Universidad CES, Medellín, Colombia.

María Cecilia Martínez-Pabón, Universidad de Antioquia

Master of Medical Microbiology. Dentistry, Universidad de Antioquia

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Published

2019-09-25

How to Cite

Hernández-Viana, S., Silva-Gómez, N., Galvis-Pareja, D. A., & Martínez-Pabón, M. C. (2019). The use of analgesics and anti-inflammatories in an oral surgery service in Medellín, Colombia, 2013-2015. Revista Facultad De Odontología Universidad De Antioquia, 30(2), 166–180. https://doi.org/10.17533/udea.rfo.v30n2a3

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