Efficacy of Celecoxib and Naproxen Sodium After Non-Surgical Extraction of Permanent Teeth: A Randomized Control Study

A. Pak, Inst Med Sci, Nida Fatima, Khalid Mahmood Siddiqui, Muhammad Zeeshan Baig, Muhammad Abul, Hasan Ali, Abdul Manan Shahid, Varqa Faraid
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Abstract

Objective: To compare the level of pain relief that two NSAID salts offer following a simple closed tooth extraction technique, as well as to assess patient adherence to the prescribed dosage schedule. Methodology: This Randomized Control Design study was conducted at Islamabad medical & dental college, from 2018-2019. 150 patients made up the sample, who were split into two equal groups using a computerized lottery system: the experimental group and the control group. Following tooth extraction under local anesthesia, participants in the experimental group were told to take one 200 mg tablet of celecoxib orally for two days, while the control group was administered two 550 mg tablets of Naproxen Sodium orally twice a day. The standard Visual Analogue Scale (VAS) was used to assess post-extraction pain after 24 and 48 hours. Patients' adherence was verified by having them fill out a Performa form by phone call after 48 hours. After collection of Data, analysis was done with the help of SPSS version 21.0. Results: After tooth extraction, both medications were similarly effective in reducing pain, although participants adhered to the OD dose of celecoxib substantially more than the BD dose of naproxen sodium. Conclusion: There was statistically insignificant difference in pain relief provided by Celecoxib and Naproxen Sodium after 24 and 48 hours of single tooth extraction.
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非手术拔除恒牙后塞来昔布和萘普生钠的疗效:随机对照研究
目的比较两种非甾体抗炎药盐在简单闭合拔牙术后的止痛效果,并评估患者对处方剂量的依从性:这项随机对照设计研究于 2018-2019 年在伊斯兰堡医学与牙科学院进行。150名患者构成样本,他们通过计算机抽签系统被分成两个相等的小组:实验组和对照组。在局部麻醉下拔牙后,实验组参与者被告知两天内口服一片 200 毫克的塞来昔布,而对照组则口服两片 550 毫克的萘普生钠,每天两次。拔牙 24 小时和 48 小时后,采用标准视觉模拟量表(VAS)评估拔牙后的疼痛。48 小时后,通过电话让患者填写一份 Performa 表格,以核实患者的依从性。收集数据后,使用 SPSS 21.0 版进行分析:结果:拔牙后,两种药物在减轻疼痛方面的效果相似,但参与者对塞来昔布口服剂量的依从性远高于对萘普生钠BD剂量的依从性:结论:在单颗牙拔除 24 小时和 48 小时后,塞来昔布和萘普生钠在减轻疼痛方面的差异在统计学上并不显著。
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