Comparação da ação da dipirona sódica e nimesulida na dor pós operatória de pacientes submetidos à extração dentária

Abstract

The inflammatory process is a reaction of the body's defense against aggression triggered by physical, chemical or biological factors. Is present in almost all the lesions produced in the human body, thus being a useful and necessary process. A tooth extraction causes an inflammatory process which is often observed in the postoperative context, the symptom of postoperative pain appears with great intensity in the initial 12 hours, having its peak between 3 and 5 hours after surgery. this study aimed to compare the analgesic effect of dipyrone Sodium (500mg) of 6 in 6 hours, orally for two (2) days and Nimesulide (100 mg) of 12 in 12 hours over three (3) days orally in the control of postoperative pain in dental surgery extraction of mandibular molars. The sample consisted of 40 patients who needed to perform extractions of m olars, divided into two groups of 20 patients, in which one of the groups was given Dipyrone Sodium postoperatively and in the other the Nimesulida.A post evaluation operative occurred immediately after surgery and during the 24 hours after surgery, at int ervals of 4, 8, 12 and 24 hours, through the Visual Analogue Scale (VAS), Categorical Scale Assessment (ECA) and the debilitating Functional Scale (EDF) .The study showed that nimesulide showed himself superior in controlling postoperative dental pain and provided better comfort to patients in relation to the administration of dipyrone. However dipyrone showed in the evaluation of two scales (VAS and EDF) a more lasting effect when observed after 24 h of its administration.