임플란트 수술 전후의 통증조절을 위한 합리적인 경구 진통제 선택법
The reasonable selection of oral analgesics for perioperative pain control in oral implant surgery
류대승, 이덕원,
소속 상세정보
류대승 ( Ryu Dae-Seung ) - 경희대학교 강동경희대학교치과병원 구강악안면외과
이덕원 ( Lee Deok-Won ) - 경희대학교 강동경희대학교치과병원 구강악안면외과
KMID : 1025720150340010001
Abstract
Pain control in oral implant surgery is important to both surgeon and patient. Ineffective control of perioperative pain in implant surgery increase patient’s discomfort, morbidity, anxiety and complication. Pharmacological intervention using non-steroidal anti-inflammatory drugs (NSAIDs) and weak opioids are effective methods for perioperative pain control. In particular, oral administration is safe and convenient. However, variety of NSAIDs are confusing dentist which analgesic is the best selection. Insufficient dose and improper usage of NSAIDs and opioids failed to control perioperative pain due to increasing side effects. To achieve optimal medication with NSAIDs and weak opioids, dentists need to know which oral analgesics are reasonable and effective. ‘WHO pain ladder’ is a guideline of pain management and ‘Oxford league table of analgesic efficacy’ reveal intrinsic activity of common oral analgesics. Based on these previous studies, dentists can prescribe optimal oral analgesics for perioperative pain control in implant surgery.
키워드
Pain; Analgesics; Surgery; Implant
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