Original Article

Comparison of the pain relieving effect of novafen and naproxen after impacted mandibular third molar surgery

Abstract

Introduction: one of the most significant concerns after third molar surgery is the post-surgical dental pain. Regarding the efficacy of the Novafen and Naproxen in pain control treatment, it is important to compare the effect of each of these medications to decide which one should be used.Aim: The aim of this study was to compare the effect of Novafen and Naproxen on pain management in patients after surgical removal of impacted mandibular third molar.Methods and Materials: This study was a clinical trial that was performed as a split mouth and double-blind on 20 patients (12 females and 8 males) with a mean age of (24.2±5.8) which hadsurgical extraction of impacted mandibular teeth in two different dates. Novafen (Acetaminophen 325mg, Ibuprofen 200mg, and Caffeine 40mg) and Naproxen 500mg were assessed blindly in each date as a pain control treatment. The pain intensity was determined by VAS (Visual Analogue Scale).In this study, data were analyzed based on Mann-whitney U-tests.Results: The mean pain in Novafen group was lower than Naproxen group 4, 8 and 12 hours after surgery (p<0.001). But after 24 hours, pain in both groups were the same and there was no statistically significant difference (p<0.2).Conclusion: The pain in Novafen group was meaningfully lower than Naproxen group hence Novafen can be used as a more effective therapy rather than Naproxen in dental surgeries.Keyword: Naproxen, Novafen, tooth, impacted.

Rudin A1, Eriksson L, Liedholm R, List T, Werner MU.

Prediction of postoperative pain after mandibular third

molar surgery. J Orofac Pain. 2010; 24(2):189-96

Squires DJ, Masson EL. A double-blind comparison of

ibuprofen, ASA-codeine-caffeine compound and placebo

in the treatment of dental surgery pain. J Int Med Res.

; 9(4):257-60

Mehrvarzfar P1, Abbott PV, Saghiri MA, Delvarani A,

Asgar K, Lotfi M, Karamifar K, Kharazifard MJ, Khabazi

H. Effects of three oral analgesics on postoperative pain

following root canal preparation: a controlled clinical tri-

al. ntEndod J. 2012; 45(1):76-824

Sobel RE1, Lovell DJ2, Brunner HI2, Weiss JE3, Morris

PW4, Gottlieb BS5, Chalom EC6, Jung LK7, Onel KB8,

Petiniot L9, Goldsmith DP10, Nanda K11, Shishov M12,

Abramsky S1, Young JP13, Giannini EH2. Safety of ce-

lecoxib and nonselective nonsteroidal anti-inflammatory

drugs in juvenile idiopathic arthritis: results of the phase

registry. Pediatr Rheumatol Online J. 2014; 16;12:29

Huynh MP1, Yagiela JA: Current concepts in acute pain

management. JCalif Dent Assoc. 2003; 31(5):419-27

Chopra D1, Rehan HS, Mehra P, Kakkar AK. A random-

ized, double-blind, placebo-controlled study comparing

the efficacy and safety of paracetamol, serratiopeptidase,

ibuprofen and betamethasone using the dental impaction

pain model. Int J Oral Maxillofac Surg. 2009; 38(4):350-5

Jiménez-Martínez E1, Gasco-García C, Arrieta-Blanco JJ,

Gomez delTorno J, Bartolome Villar B. Study of the an-

algesic efficacy of DexketoprofenTrometamol 25mg. vs.

Ibuprofen 600mg. after their administration in patients

subjected to oral surgery. Med Oral. 2004; 9(2):143-8,

-43

Bjørnsson GA1, Haanaes HR, Skoglund LA. A random-

ized, double-blind crossover trial of paracetamol 1000

mg four times daily vs ibuprofen 600 mg: effect on swell-

ing and other postoperative events after third molar sur-

SchnitzerT. The new analgesic combination tramadol /

acetaminophen. Eur J Anesthesiol. 2003; 20 ( 28): 13-18

Olson NZ1, Otero AM, Marrero I, Tirado S, Cooper S,

Doyle G, Jayawardena S, Sunshine A. Onset of analge-

sia for liquigel ibuprofen 400 mg, acetaminophen 1000

mg, ketoprofen 25 mg, and placebo in the treatment

of postoperative dental pain. J ClinPharmacol. 2001;

(11):1238-47

Nelson SL1, Brahim JS, Korn SH, Greene SS, Suchower

LJ. Comparison of single-dose ibuprofen lysine, acetyl-

salicylic acid, and placebo for moderate-to-severe post-

operative dental pain. ClinTher. 1994; 16(3):458-65

Hersh EV1, Cooper S, Betts N, Wedell D, MacAfee K,

Quinn P, Lamp C, Gaston G, Bergman S, Henry E. Single

dose and multidose analgesic study of ibuprofen and me-

clofenamate sodium after third molar surgery.OralSurg

Oral Med Oral Pathol. 1993; 76(6):680-7

Mitchell A1, McCrea P, Inglis K, Porter G. A randomized,

controlled trial comparing acetaminophen plus ibupro-

fen versus acetaminophen plus codeine plus caffeine (Ty-

lenol 3) after outpatient breast surgery. Ann SurgOncol.

; 19(12):3792-800.

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IssueVol 3, No 3 (Summer 2016) QRcode
SectionOriginal Article(s)
Keywords
Naproxen Novafen tooth impacted

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How to Cite
1.
Lasemi E, Sezavar M, ZamaniMiyandashti M, Hemmat S, ShoarNobari E, Fateh A, Davoudmanesh Z. Comparison of the pain relieving effect of novafen and naproxen after impacted mandibular third molar surgery. J Craniomaxillofac Res. 2016;3(3):207-210.