Farmakolojik Olmayan Ağrı Kontrol Metodlarının Gömülü Üçüncü Molar Cerrahisi Sonrası Ağrı Üzerine Etkileri

Year 2021, , 1 - 7, 11.03.2021

Ahmet Taylan Çebi

https://doi.org/10.17343/sdutfd.604665

Abstract

Amaç: Mentollü krem ile masaj uygulaması gibi farmakolojik
olmayan ağrı kontrol metodlarının üçüncü molar cerrahisi sonrası ağrı üzerine
etkinliğinin değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Çalışmaya, 18-48 yaşları arasında gömülü
üçüncü molara sahip olan 100 sağlıklı birey dahil edildi. Hastalar randomize
olarak rutin tedavi grubu ve cerrahi sonrası matollü krem ile masaj grubu olmak
üzere 2 gruba (n: 50) ayrıldı. Postoperatif ağrı değerlendirmesi, hastaların
postoperatif 2., 6., 8., 12., 24. ve 48. saatlerde ve ayrıca 3., 5. ve 7.
günlerde 100 mm'lik Görsel Analog Skaladaki (VAS) ağrı derecesini belirlemelerine
yardımcı olarak yapıldı.

Bulgular: Gruplardaki olguların yaş ortalamaları ile cinsiyet
dağılımları arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>
0.05). Gruplar arasında VAS düzeylerinde istatistiksel olarak anlamlı bir fark
tespit edildi (p <0.05). Grup içi değerlendirmelerde, VAS düzeylerinin
ortalama değerleri arasında istatistiksel olarak anlamlı fark bulundu (p:
0.001; p <0.01).

Sonuç: Bu çalışmada, mentollü kremle yapılan masaj
uygulaması gibi farmakolojik olmayan ağrı kontrol yöntemlerinin oral cerrahi
işlem sonrası postoperatif ağrı üzerinde anlamlı bir etkisi olduğu gözlendi. Bu
tip ağrı kontrol yöntemlerinin postoperatif destek tedavisi olarak güvenle
kullanılabileceği düşünülmektedir.

Keywords

Ağrı, masaj, ağrı yönetimi

Efficacies of Non-Pharmacological Pain Control Methods on Pain After Impacted Third Molar Surgery

Abstract

Objective:
It is aimed to evaluate the efficacy of non-pharmacological pain control
methods such as massage application with menthol cream on postoperative pain
after third molar surgery.

Material
and Methods : 100 healthy individuals who were 18-48
years old with impacted third molars were included in this study. Patients were
randomly assigned to 2 groups (n: 50) to which routine treatment group and the
group of massage application with menthol cream after the operation. Postoperative pain evaluation was carried out by
helping patients mark the degree of pain on the 100 mm Visual Analogue Scale
(VAS) on the postoperative 2^nd, 6^th, 8^th, 12^th,
24^th and 48^th hours and also on 3^rd, 5^th
and 7^th days.

Results: No statistically significant difference exists between
the mean ages and gender distributions of the cases in the groups (p>0.05).
There is a statistically significant difference between the groups with regard
to VAS levels (p<0.05). In groups, the statistically significant difference
was found between mean values of VAS levels (p:0.001; p<0.01).

Conclusion: In this study,
non-pharmacological pain control methods such as massage application with
menthol cream had a significant impact on the postoperative pain after oral
surgical procedures. It is considered that these pain control methods can be
used safely as postoperative support treatment. 

Keywords

Pain, massage, pain management

References

• 1. Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc 2007;73:325.
• 2. Tiwana PS, Foy SP, Shugars DA, Marciani RD, Conrad SM, Phillips C et al. The impact of intravenous corticosteroid with third molar surgery in patients at high risk for delayed health-related quality of life and clinical recovery. J Oral Maxillofac Surg 2005;63:55-62.
• 3. Slade GD, Foy SP, Shugars DA, Phillips C, White RP Jr. The impact of third molar symptoms, pain and swelling on oral healthrelated quality of life. J Oral Maxillofac Surg 2004;62:1118-1124.
• 4. McGrath C, Comfort MB, Lo ECM, Luo Y. Changes in life quality following third molar surgery- the immediate postoperative period. Br Dent J 2003;194:265-268.
• 5. Wahid A, Mian FI, Bokhan SA, Moazzam A, Kramat A, Khan F. Prevalence of impacted mandibular and maxillary third molars: A radiographic study in patients reporting Madina teaching hospital, Faisalabad. JUMDC 2013;4(2):22-31.
• 6. Laureano Filho JR, Maurette PE, Allais M, Cotinho M, Fernandes C. Clinical comparative study of the effectiveness of two dosages of Dexamethasone to control postoperative swelling, trismus and pain after the surgical extraction of mandibular impacted third molars. Med Oral Patol Oral Cir Bucal 2008;13(2):129-32.
• 7. Ness GM, Peterson LJ. Impacted Teeth. In: M M, editor. Peterson's Principles of Oral and Maxillofacial Surgery. Hamilton: BC Decker 2004;138-155.
• 8. Akbaş M, Öztunç G. Examination of knowledge about and nursing interventions for the care of patients in pain of nurses who work at Cukurova University Medical Faculty Balcali Hospital. Pain Manag Nurs 2008;9(3):88-95.
• 9. Nester TM, Hale LS. Effectiveness of pharmacist acquired medication history in promoting patient safety. Am J Health Syst Pharm 2002;59:2221-2225.
• 10. Nadler DO, Scott F. Nonpharmacologic management of pain. JAOA 2004;104(11):6-12.
• 11. Adams DP, Melissa L, Gary J, Arminio DP. Non-Pharmacologic pain management ıntervention. Clin Podiatr Med Surg 2008;25:409-429.
• 12. Snyder M, Wieland J. Complementary and alternative therapies what ıs their place in the management of chronic pain. Nurs Clin N Am 2003;38:495-508.
• 13. Owens MK, Ehrenreich D. Literature review of nonpharmacologic methods for the treatment of chronic pain. Holistic Nurse Practice 1991;6(1):24-31.
• 14. Kubsch SM, Neveau T, Vandertie K. Effect of cutaneous stimülation on pain reduction in emergency departmant patients. accident and emergency. Nursing 2001;9:143-151.
• 15. Boyd C, Crawford C, Paat CF, Price A, Xenakis L, Zhang W. The impact of massage therapy on function in pain populations—a systematic review and meta-analysis of randomized controlled trials: part III, surgical pain populations Pain Med 2016;17(9):1757-1772.
• 16. Jiang PS, Qin Y. Touch therapies for pain relief in adults. Cochrane Database Syst Rev 2008;8(4):1-45.
• 17. Kwekkeboom KL, Gretarsdottir E. Systematic review of relaxation ınterventions for pain. J Nurs Scholarsh 2006;38(3):269-277.
• 18. Kraemer WJ, Ratamess NA, Maresh CM, Anderson JA, Volek JS, Tiberio DP, et al. A cetylated fatty acid topical cream with menthol reduces pain and improve functional performance in individuals with arthritis. J Strength Cond Res 2005;19(2):465–480.
• 19. Esen E., Taşar F., Akban O. Determination of the anti-inflammatory effects of metilprednisolone on the sequel of the third molar surgery. J. Oral Maxillofac Surg 1999;57:1201–1206.
• 20. Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am 2007;19(1):117–128.
• 21. Neal J, Welch T, Halliday R, Calif L. Analysis of the analgesic efficacy and cost effective use of long-acting local anesthetics in outpatient third molar surgery. Oral Surg. Oral Med. Oral Pathol 1993:75:283–285.
• 22. Hernandez-Reif, M, Dieter, J, Field, T, Swerdlow, B, Diego, M. Migraine headaches are reduced by massage therapy. Int J Neurosci 1998:96;1-11.
• 23. Furlan A, Brosseau L, Imamura M, Irvin E. Massage for low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 2002;27:1896-1910.
• 24. Winters J, Sobel J, Groenier K, Arendzen H, Meyboomde Jong B. Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: randomised, single blind study. BMJ 1997;314:1320-1325.
• 25. Dolder PA, Roberts DL. A trial into the effectiveness of soft tissue massage in the treatment of shoulder pain. Aust J Physiother 2003;49:183-188.
• 26. Gemmell HA, Jacobson BH, Hayes BM. Effect of a topical herbal cream on osteoarthritis of the hand and knee: a pilot study, J Manipulative Physiol Ther 2003;26:315-23.
• 27. Johar P, Grover V, Topp R, Behm DG. A comparison of topical menthol to ice on pain, evoked tetanic and voluntary force during delayed onset muscle soreness. Int J Sports Phys Ther 2012;7(3):314–22.
• 28. Higashi Y, Kiuchi T, Furuta K. Efficacy and safety profile of a topical methyl salicylate and menthol patch in adult patients with mild to moderate muscle strain: a randomized, double-blind, parallel-group, placebo-controlled, multicenter study. Clin Ther 2010;32(1):34-43.
• 29. Zhang J, Enix D, Snyder B, Giggey K, Tepe R. Effects of Biofreeze and chiropractic adjustments on acute low back pain: a pilot study. J Chiro Med 2008;7(2):59-65.