Abstract
ABSTRACT BACKGROUND AND OBJECTIVES: Acute postoperative pain of the third molars requires not only the ability of the dental surgeon in removing them but also the correct pharmacological control of this incidental pain that will install after the effect of the anesthetic blockade has ceased. The objective of this study was to report a case of moderate pain after third molar removal procedure, where the adverse effects of the prescribed medication were determinant for the abandonment of pharmacological treatment and consequently the maintenance of the pain. CASE REPORT: A 22-year-old male patient, student, from the city of Curitiba, sought outpatient care for acute moderate-intensity pain after 48 hours of removal of the third molars. He was experiencing some adverse effects due to the prescription of the combination of oral codeine (30mg) and paracetamol (325mg) at every 6 hours. In view of this, we opted for the prescription of viminol hydroxybenzoate (70mg) orally, every 6 hours. CONCLUSION: The prescription of the viminol hydroxybenzoate analgesic resulted in complete, rapid and effective postoperative analgesia, with excellent tolerability.
Highlights
BACKGROUNDAND OBJECTIVES: Acute postoperative pain of the third molars requires the ability of the dental surgeon in removing them and the correct pharmacological control of this incidental pain that will install after the effect of the anesthetic blockade has ceased
Several drugs interfere with the CYP2D6 enzyme metabolism, decreasing or increasing the codeine-morphine conversion and affecting its analgesic effect
We looked for an alternative equipotent synthetic, non-narcotic, p-ethanolamine derivative analgesic, with original differentiated chemical structure and no structural and/or chemical correlation with the natural or synthetic analgesics known to date[8,9,13,14,15]
Summary
AND OBJECTIVES: Acute postoperative pain of the third molars requires the ability of the dental surgeon in removing them and the correct pharmacological control of this incidental pain that will install after the effect of the anesthetic blockade has ceased. CASE REPORT: A 22-year-old male patient, student, from the city of Curitiba, sought outpatient care for acute moderate-intensity pain after 48 hours of removal of the third molars. He was experiencing some adverse effects due to the prescription of the combination of oral codeine (30mg) and paracetamol (325mg) at every 6 hours. JUSTIFICATIVA E OBJETIVOS: A dor aguda pós-operatória de terceiros molares requer não somente habilidade do cirurgião-dentista em removê-los, mas também no correto controle farmacológico desse quadro álgico que se instalará após o efeito do bloqueio anestésico ter cessado. Apresentou efeitos adversos devido à prescrição da associação de codeína (30mg) e paracetamol (325mg) por via oral de 6/6 horas. Descritores: Analgesia, Codeína, Dor aguda, Dor pós-operatória, Manuseio da dor, Viminol
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