analgesics in dentistry

1. ANALGESICS IN DENTISTRYANALGESICS IN DENTISTRY

2. DEFINITIONDEFINITION
ALGESIAALGESIA :: IT IS DEFINED AS AN ILL DEFINED,IT IS DEFINED AS AN ILL DEFINED,
UNPLEASANT SENSATION, USUALLY EVOKED BY ANUNPLEASANT SENSATION, USUALLY EVOKED BY AN
EXTERNAL OR INTERNAL NOXIOUS STIMULI.EXTERNAL OR INTERNAL NOXIOUS STIMULI.
ANALGESICANALGESIC : A DRUG THAT SELECTIVELY RELIEVES: A DRUG THAT SELECTIVELY RELIEVES
PAIN BY ACTING IN THE CNS OR PERIPHERAL PAINPAIN BY ACTING IN THE CNS OR PERIPHERAL PAIN
MECHANISM,WITHOUT SIGNIFICANTLY ALTERING THEMECHANISM,WITHOUT SIGNIFICANTLY ALTERING THE
CONCIOUSNESS.CONCIOUSNESS.

4. PARACETAMOL / ACETAMINOPHEN (PANADOL)PARACETAMOL / ACETAMINOPHEN (PANADOL)
• NO ANTI INFLAMMATORY ACTIONNO ANTI INFLAMMATORY ACTION
• MODERATE ANTIPYRETICMODERATE ANTIPYRETIC
• DOES NOT CAUSE GIT IRRITATION /DOES NOT CAUSE GIT IRRITATION /
BLEEDING TIMESBLEEDING TIMES
• DOSE : 1000MG 6 HOURLYDOSE : 1000MG 6 HOURLY

5. MEFENAMIC ACID (PONSTAN)MEFENAMIC ACID (PONSTAN)
• MILD-MODERATE PAINMILD-MODERATE PAIN
• MUST BE TAKEN WITH FOODMUST BE TAKEN WITH FOOD  GITGIT
UPSETUPSET
• DOSE : 250MG-500MGDOSE : 250MG-500MG

6. ASPIRINASPIRIN
• MILD TO MODERATE PAINMILD TO MODERATE PAIN
• POTENT ANTIPYRETICPOTENT ANTIPYRETIC
• CONTRAINDICATIONCONTRAINDICATION  GIT ULCERATIONGIT ULCERATION
AND CONCURRENT ANTICOAGULANTAND CONCURRENT ANTICOAGULANT
• DOSE : 600-900MG 4 HOURLYDOSE : 600-900MG 4 HOURLY

7. IBUPROFENIBUPROFEN
• MILD-MODERATE PAINMILD-MODERATE PAIN
• MODERATE ANTIPYRETICMODERATE ANTIPYRETIC
• LESS IRRITANT TO THE GUTLESS IRRITANT TO THE GUT
• DOSE : 400-600MG 8 HOURLYDOSE : 400-600MG 8 HOURLY

8. ETORICOXIB (ARCOXIA)ETORICOXIB (ARCOXIA)
• RAPID ONSET ANDRAPID ONSET AND
LONG-LASTINGLONG-LASTING
PAIN RELIEFPAIN RELIEF
• 120 MG MINIMUM120 MG MINIMUM
POST DENTAL OPPOST DENTAL OP

9. MORPHINEMORPHINE
• MANAGEMENT OF TERMINAL PAINMANAGEMENT OF TERMINAL PAIN
• SEVERE PAINSEVERE PAIN  POST-OPPOST-OP
• DOSE : 10-20 MG 4 HOURLYDOSE : 10-20 MG 4 HOURLY

10. CODEINECODEINE
• DROWSINESS, GIT UPSETDROWSINESS, GIT UPSET
• FORMULATED WITH OTHER DRUGSFORMULATED WITH OTHER DRUGS 
ASPIRIN OR ACETAMINOPHENASPIRIN OR ACETAMINOPHEN
• DOSE 30 MG OF CODEIN + 600 MGDOSE 30 MG OF CODEIN + 600 MG
OF ASPIRINOF ASPIRIN

12. PREGNANT WOMENPREGNANT WOMEN

13. PATIENT WITH GIT ULCERPATIENT WITH GIT ULCER
• AVOID NSAIDAVOID NSAID  PREFERABLEPREFERABLE
PARACETAMOLPARACETAMOL

14. ANALGESICS FORANALGESICS FOR
CHILDRENCHILDREN

15. REFERENCEREFERENCE
• LAURA MITCHELL, DAVID A.MITCHELL. 2010. OXFORD HANDBOOK OFLAURA MITCHELL, DAVID A.MITCHELL. 2010. OXFORD HANDBOOK OF
CLINICAL DENTISTRY. 5CLINICAL DENTISTRY. 5THTH
EDITION. 560-562EDITION. 560-562
• MALMSTROM K ET AL. 2004.MALMSTROM K ET AL. 2004. ETORICOXIB IN ACUTE PAIN ASSOCIATED WITH
DENTAL SURGERY: A RANDOMIZED, DOUBLE-BLIND, PLACEBO- AND ACTIVE
COMPARATOR-CONTROLLED DOSE-RANGING STUDY. 26(5):667-679
• PAEDIATRIC ANALGESIA GUIDELINES. JUNE 2017. ROYAL CORNWALLPAEDIATRIC ANALGESIA GUIDELINES. JUNE 2017. ROYAL CORNWALL
HOSPITALSHOSPITALS