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Post-Procedure Analgesic Management
This article will go in depth to explain the analgesic tools practitioners can implement for an effective low-risk protocol, including a combination of NSAIDS and acetaminophen approach, using long-acting local anesthetics such as Exparel, pregabalin, gabapentin, ketamine, dexmedetomidine, and corticosteroids, and enhanced recovery after surgery protocols.
Source: Dental Clinics of North America - September 15, 2023 Category: Dentistry Authors: Amanda Andre, Michael Benichou, Harry Dym Source Type: research

Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh School of Dental Medicine, and the Center for Integrative Global Oral Health at the University of Pennsylvania
Conclusions and practical implications: Nonopioid medications, specifically nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen alone or in combination with acetaminophen, are recommended for managing acute dental pain after 1 or more tooth extractions (that is, simple and surgical) and the temporary management of toothache in children (conditional recommendation, very low certainty). According to the US Food and Drug Administration, the use of codeine and tramadol in children for managing acute pain is contraindicated. 
Source: Dental Technology Blog - September 1, 2023 Category: Dentistry Source Type: news

Three-dimensional facial swelling evaluation of pre-operative single-dose of prednisone in third molar surgery: a split-mouth randomized controlled trial
Facial swelling, pain, and trismus are the most common postoperative sequelae after mandibular third molar (M3M) surgery. Corticosteroids are the most used drugs to reduce the severity of inflammatory symptoms...
Source: BMC Oral Health - August 31, 2023 Category: Dentistry Authors: Alessandro Antonelli, Selene Barone, Francesco Bennardo and Amerigo Giudice Tags: Research Source Type: research

Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in children: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh School of Dental Medicine, and the Center for Integrative Global Oral Health at the University of Pennsylvania
CONCLUSIONS AND PRACTICAL IMPLICATIONS: Nonopioid medications, specifically nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen alone or in combination with acetaminophen, are recommended for managing acute dental pain after 1 or more tooth extractions (that is, simple and surgical) and the temporary management of toothache in children (conditional recommendation, very low certainty). According to the US Food and Drug Administration, the use of codeine and tramadol in children for managing acute pain is contraindicated.PMID:37634915 | DOI:10.1016/j.adaj.2023.06.014
Source: Journal of the American Dental Association - August 27, 2023 Category: Dentistry Authors: Alonso Carrasco-Labra Deborah E Polk Olivia Urquhart Tara Aghaloo J William Claytor Vineet Dhar Raymond A Dionne Lorena Espinoza Sharon M Gordon Elliot V Hersh Alan S Law Brian S-K Li Paul J Schwartz Katie J Suda Michael A Turturro Marjorie L Wright Tim D Source Type: research

Corticosteroids for managing acute pain subsequent to surgical extraction of mandibular third molars: A systematic review and meta-analysis
J Am Dent Assoc. 2023 Aug;154(8):727-741.e10. doi: 10.1016/j.adaj.2023.04.018.ABSTRACTBACKGROUND: Corticosteroids are used to manage pain after surgical tooth extractions. The authors assessed the effect of corticosteroids on acute postoperative pain in patients undergoing surgical tooth extractions of mandibular third molars.TYPES OF STUDIES REVIEWED: The authors conducted a systematic review and meta-analysis. The authors searched the Epistemonikos database, including MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and the US clinical trials registry (ClinicalTrials.gov) from inception until April 2023. ...
Source: Journal of the American Dental Association - July 27, 2023 Category: Dentistry Authors: Anna Miroshnychenko Maria Azab Sara Ibrahim Yetiani Roldan Juan Pablo Diaz Martinez Divyalakshmi Tamilselvan Leon He Olivia Urquhart Francisca Verdugo-Paiva Malavika Tampi Deborah E Polk Paul A Moore Elliot V Hersh Romina Brignardello-Petersen Alonso Carr Source Type: research

Mucous Membrane Pemphigoid: A Case Report with Oral and Ocular Presentation
CONCLUSION: A multidisciplinary approach is often necessary in order to treat MMP lesions efficaciously.CLINICAL SIGNIFICANCE: Early diagnosis and effective treatment protocol using systemic or topical corticosteroid therapy along with other therapeutic means including periodontal therapy, good oral hygiene practice, and timely follow-up are very useful in preventing long-term complications due to this disease.PMID:36440525
Source: J Contemp Dent Pract - November 28, 2022 Category: Dentistry Authors: Hammam Ibrahim Fageeh Source Type: research

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