Pre– and post– operative effectiveness of naproxen and ibuprofen on pain, swelling, and trismus following surgical removal of impacted mandibular third molar

Abstract

This study focused on the clinical evaluation of naproxen and ibuprofen efficacy on pain, swelling and trismus after surgical removal of impacted mandibular third molar, whether they used only pre-operatively or pre-and post-operatively. The number of patients included in the present study was 40, divided into four groups: Each group is 10 patients, the first group received naproxen as sodium 1hour pre-operatively followed by three times daily for five days post-operatively. Whereas the second group received naproxen as sodium three times daily for five days begins 1hour post-operatively. However, the third group had been given ibuprofen 1hour pre-operatively followed by three times daily for five days postoperatively. The fourth group administered ibuprofen three times daily for five days begins 1hour post-operatively.The pain was evaluated by the number of paracetamol tablets taken by the patients recorded on the pocket chart, whereas the swelling was measured subjectively. The trismus was evaluated by measuring the maximum mouth opening between the incisal edges of the maxillary and mandi-bular central incisors using the graduated vernier.The results showed that the use of naproxen as sodium 1hour pre-operatively minimized the pain, swelling and trismus significantly compared to ibuprofen.