Sublingual Piroxicam - A Painless Way In The Management Of Lower Third Molar Extraction

Abstract

Background: This study was conducted with the need to evaluate and compare the efficacy of oral piroxicam with sublingual piroxicam
in regulating post operative pain after third molar surgery
Objectives: The objectives of this study were to evaluate the efficacy of oral and sublingual piroxicam in controlling pain after third
molar extraction at 4 and 6 hours with the help of VAS and time taken for ingesting the first rescue medication post operatively.
Methodology: A total of 27 participants, with 52 sites which met the inclusion and exclusion criteria were selected for this study.
These were then divided into two groups; one was oral piroxicam group and the other was sublingual group. The intensity of pain was
recorded at 4th and 6th post operative hour using a VAS analogue scale. The time when the participant first complained of pain was
recorded and the participant was given 20mg of piroxicam as a rescue medication.
Results: It was observed that both the drugs were equally effective at 4th post operative hour and the pain intensity at 6th post operative
hour was found to be less in the sublingual piroxicam group than the oral group. The mean time for taking the first rescue medication
was greater in the sublingual piroxicam group as compared to the oral group.
Conclusion: It was concluded that s