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Research Paper | Dentistry | India | Volume 12 Issue 8, August 2023 | Rating: 5.9 / 10
Comparative Evaluation of Transdermal Diclofenac and Oral Diclofenac in Management of Post - Operative Pain in Bilateral Premolar Orthodontic Extractions - A Comparative Interventional Study
Dr. Ramanpreet Kour | Dr. Srimathy S Arora | Dr. Vikas Grack | Dr. Vaishali Jangra
Abstract: Aim: This study was performed to compare the efficacy of transdermal diclofenac patch and oral diclofenac tablet in management of post - extraction analgesia and adverse effects following bilateral first premolar extractions in patients undergoing orthodontic treatment. Materials and Methods: Thirty young pre - orthodontic patients requiring bilateral first premolar orthodontic extractions were selected and divided into 2 groups. Group1 ? diclofenac tablet for post operative pain during first premolar extraction in one side of the jaw. Group2 ? transdermal diclofenac patch for post operative pain during premolar extraction on opposite side of the jaw after one week of first extraction. Pain relief with both diclofenac tablet and diclofenac patch was recorded for each of the three postoperative days using Visual Analog Scale, Verbal Rating Scale and Pain Relief Scale charts. Results: Statistical analysis showed that both diclofenac tablet and diclofenac transdermal patch caused the significant reduction in pain scores with time. Though mean pain scores of various scales used like VAS, VRS, PRS for Transdermal patch was lesser than the mean pain scores of diclofenac tablet, the difference was not statistically significant. However, patients were more comfortable with transdermal patch because of lesser frequency of side effects and once a day application of the patch. Conclusions: Transdermal diclofenac patch seems to be a promising analgesic modality for the management of pain following dental extractions, given the evidence of its established analgesic potency with a lower incidence of systemic adverse effects.
Keywords: Diclofenac tablets, transdermal patch, bilateral extraction
Edition: Volume 12 Issue 8, August 2023,
Pages: 137 - 141