J Dent Anesth Pain Med.  2022 Dec;22(6):443-450. 10.17245/jdapm.2022.22.6.443.

Pre-emptive analgesia efficacy of piroxicam versus tramadol in oral surgery

• Muthuluri T
• Chandrupatla SG
• Rajan R
• Reddy VV
• Jhawar DK
• Potturi A

• KMID: 2536403
• DOI: http://doi.org/10.17245/jdapm.2022.22.6.443

Abstract

Background
This double-blind randomized controlled trial (RCT) was conducted to evaluate the pre-emptive analgesia and anti-inflammatory efficacy of piroxicam compared with tramadol in patients undergoing oral surgery.
Methods
Seventy-eight patients who required extraction of impacted mandibular third molars were randomized into three treatment groups of 26 patients each: group I received 100 mg of tramadol, group II received 20 mg of piroxicam, and group III received a placebo. Drugs were administered intramuscularly 30 min prior to the extraction procedure.
Results
Pain intensity, time to first analgesic administration, total analgesic consumption, facial edema, and trismus were the outcomes of interest. The group receiving 20 mg of piroxicam showed significantly lower pain intensity, increased time to first analgesic, and reduced edema from preoperative to postoperative day seven than those in the tramadol and placebo groups.
Conclusion
The findings of this study showed that piroxicam had significant pain relief efficacy after third molar surgery compared with that in tramadol.

Keyword

Piroxicam; Preemptive Analgesia; Third Molar; Tooth Extraction; Tramadol