Anticipatory Analgesic Effects of Tramadol and Ibuprofen in Impacted Mandibular Third Molar Extraction a Comparative Study

Abstract

Aim: to assess the effectiveness of analgesia brought about by preoperative tramadol and ibuprofen on surgically removed mandibular third molars. Materials and Methods: Thirty individuals had their lower third molar surgically removed; they were split into three groups of 10 patients each. Group I had an intraoperative 100 mg tramadol injection; Group II received an oral 800 mg Ibuprofen injection; and Group III was a control group that received no prior care. The visual analogue scale (VAS), verbal pain scale (VPS), patient satisfaction (PS), amount of analgesic utilized, time elapsed before starting intake, and patient satisfaction (PS) were used to quantify analgesia after a 24-hour period. Result: On every kind of pain measure, there were notable differences between the tramadol and control groups, with the tramadol group scoring higher. The visual analogue scale (VAS), quantity, and duration of pills required over the course of a 24-hour period were significantly different between the Ibuprofen and control groups. Both the VAS and the VPS showed a substantial difference in favour of the Tramadol group compared to the Ibuprofen group. Conclusions: When impacted lower third molar surgery is performed, preventive usage of tramadol or ibuprofen is an excellent way to manage postoperative discomfort.