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

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

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