Acta Stomatologica Croatica最新文献

{"title":"The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region.","authors":"Jure Martinić, Lidija Gavić, Antonija Tadin, Ante Mihovilović, Petra Stazić, Daniel Jerković","doi":"10.15644/asc58/4/7","DOIUrl":"10.15644/asc58/4/7","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether factors associated with surgical trauma influence postoperative pain in the first postoperative week.</p><p><strong>Study design: </strong>The study included 30 healthy, non-smoker adults of both genders, with an indication for periapical surgery on a single tooth in the upper anterior region, no history of prior surgery, no allergies to lidocaine with adrenaline or ibuprofen, no acute inflammation or pain, and a PAI of 3, 4, or 5. A single surgical team treated all patients by following the same surgical protocol. In the first postoperative week, each patient received the same postoperative instructions and a pain questionnaire to record pain intensity and analgesic consumption.</p><p><strong>Results: </strong>The highest pain intensity was recorded on the day after surgery, while the highest analgesics consumption was recorded on the day of surgery. Participants with a BMI correlated positively with the amount of analgesics taken in the postoperative period (<i>P</i><0.05). The duration of the operation correlated negatively with the intensity of pain and the consumption of analgesics after the operation (<i>P</i><0.05). The volume, height and width of the alveolar bone defect after the operation did not significantly influence the intensity of pain and the consumption of analgesics in the postoperative period (<i>P</i>>0.05). The presence of a fistula correlated negatively with analgesic consumption after surgery (<i>P</i><0.05), while preoperative fenestration correlated negatively with the intensity of postoperative pain (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>Patients with a preoperative fistula and fenestration reported less pain and lower analgesic consumption in the postoperative period. These results indicate a potential relationship between the severity of postoperative pain and the degree of surgical trauma.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"382-393"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-assessment of Readiness and Equipment of Dental Clinics for Managing Medical Emergencies in the Republic of Croatia.","authors":"Bruno Špiljak, Maja Firić, Miroslav Sikora, Vlaho Brailo","doi":"10.15644/asc58/4/4","DOIUrl":"10.15644/asc58/4/4","url":null,"abstract":"<p><strong>Objective: </strong>Medical emergencies (MEs) pose immediate threats to patients' lives and health and can occur in dental clinics. This study aimed to evaluate how well dentists in Croatia feel prepared to manage MEs and how well their clinics are equipped with necessary drugs and equipment.</p><p><strong>Materials and methods: </strong>The study involved 319 active dentists who completed an online questionnaire covering demographic data, education on MEs, self-assessment of their ability to manage MEs, clinic equipment for MEs, knowledge and ability to use drugs for MEs, and opinions on further education needs. The normality of the distribution was tested using the Shapiro-Wilk test. Percentages were used for nominal variables, and mean ± standard deviation was applied for continuous variables. A t-test and χ2 test were used to analyze group differences.</p><p><strong>Results: </strong>Most of the respondents (77%) were general dentists. Adrenaline was the most available drug (98.7%), while other drugs were less common. The respondents in secondary and tertiary healthcare clinics showed greater readiness and better education for managing MEs and attended ME training significantly more often than those working in primary healthcare clinics (p=0.009). Additionally, the respondents with specialization and experience in secondary and tertiary clinics had more drugs and equipment and attended ME training more frequently (p < 0.0001 and p=0.001).</p><p><strong>Conclusions: </strong>Training on managing MEs should be held more frequently, on an annual basis, and should be mandatory for all dentists, regardless of their workplace.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"348-361"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Shift' Adaptation and a New Croatian Standard for Haavikko Developmental Stages' Timing.","authors":"Ivan Bedek, Jelena Dumančić, Tomislav Lauc, Miljenko Marušić, Ivana Čuković-Bagić","doi":"10.15644/asc58/4/1","DOIUrl":"10.15644/asc58/4/1","url":null,"abstract":"<p><p>Accurate age estimation is an integral part of the identification process. Although used infrequently when compared to more established methods, the Haavikko method can be used in cases where other dental age estimation methods have proven ineffective.The aim of this study was to adapt the Haavikko method as a means of improving age estimation on a representative sample of Croatian children and to establish an applicable standard for the Haavikko developmental stages. To achieve this objective, digital, standardized orthopantomograms of children aged 5 to 16 were collected in four Croatian cities in 1997. Drawing upon a previously published study of the Croatian population, a simple adaptation named 'shift' was introduced to the Haavikko method by adding the average difference between chronological and dental age to the estimated dental age. Square deviations were used to compare the results of the original Haavikko method with the 'shift' adaptation. Accuracy of age estimation was presented as the percentage of correct estimations within intervals of ±0.5 years, ±1 year, ±1.5 years and ±2 years. The 'shift' adaptation was tested through simulation to assure population applicability. The average age for every stage of each permanent tooth was then calculated to provide Croatian specific tables for the Haavikko method. The 'shift' adaptation significantly improved age estimation accuracy among boys and girls in all age groups. Simulation confirmed the representativity of the sample and its population applicability. The Croatian specific tables comprise a standard when estimating age using the Haavikko method among Croatian children.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"318-328"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Different Enamel Pretreatment on Bond Strength of Fissure Sealant.","authors":"Dafina Doberdoli, Hrvoje Jurić","doi":"10.15644/asc58/4/3","DOIUrl":"10.15644/asc58/4/3","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this <i>in vitro</i> study was to evaluate the bond strength of a resin composite fissure sealant to enamel which was pre-treated with different laser pulse modes and additional acid etching.</p><p><strong>Materials and methods: </strong>Forty-two healthy molars and premolars were collected for this study and randomly divided into 6 groups (n=7). Group 1: Quantum Square Pulse (QSP); Group 2: Medium-Short Pulse (MSP) mode; Group 3: Super Short Pulse (SSP) mode; Group 4: QSP + acid etching; Group 5: MSP + acid etching; Group 6: SSP + acid etching. The occlusal surfaces of the teeth were pre-treated according to the defined group. Laser conditioning of the enamel was performed using an Er:YAG laser Fotona Light Walker AT-S (Fotona, Ljubljana, Slovenia) with a wavelength of 2940 nm + acid etching (EN etch Ivoclar Vivadent AG, Schaan, Liechtenstein). Occlusal surfaces were sealed with a resin-based composite fissure sealant (Helioseal F, Ivoclar Vivadent AG, Schaan, Liechtenstein). Micro-tensile bond strength (μTBS) test and stereomicroscope evaluations of the failure mode were performed. The μTBS was tested using the Games-Howell method. The failure mode between groups was tested using the chi-square test. The significance level for all tests was set at p <0.05.</p><p><strong>Results: </strong>The highest bond strength was measured using laser etching in MSP mode combined with acid etching (36.09 MPa). This combination showed a significantly higher bond strength than the other combinations (SSP + ETCH, p<0.001; QSP + ETCH, p<0.001).</p><p><strong>Conclusion: </strong>The SP laser followed by acid etching of enamel yielded the highest bond strength. Thus, the MSP with a 140 µs pulse mode might be the preferred choice as a pre-treatment procedure for fissure sealing.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"339-347"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of COVID-19 Lockdown on Self-Efficacy in Endodontics among Dental Students.","authors":"Jelena Vidas Hrstić, Ema Paljević, Ivana Brekalo Pršo, Ivana Vidović Zdrilić, Luka Šimunović, Elvis Božac, Romana Peršić Bukmir","doi":"10.15644/asc58/4/5","DOIUrl":"10.15644/asc58/4/5","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate the change in self-efficacy in endodontics among dental students during their studies and to make a comparison between the generations affected and not affected by the COVID-19 lockdown.</p><p><strong>Materials and methods: </strong>The Endodontic General Self-Efficacy Scale was used. Data for this longitudinal study were obtained from two generations of students who have completed the same three self-efficacy questionnaires at the end of each academic year over a three-year period.</p><p><strong>Results: </strong>Repeated measurements of each participant revealed a statistically significant difference in self-efficacy level among the three repeated measures over a three-year period (F(1, 580) = 80.226; <i>p</i> < 0.05). The effect size between groups showed a statistically significant difference in self-efficacy in performing endodontic treatments across all three repeated measures (F(1) = 13.958 <i>p</i> < 0.05). The post hoc analysis confirmed the between-group difference (2.838; <i>p</i> < 0.05) in the arithmetic mean between the lockdown-affected and non-lockdown-affected groups. Active participation and length of time in a dental office (between several days and one year of experience) were associated with an increase in self-efficacy.</p><p><strong>Conclusions: </strong>Self-efficacy increased as students progressed in their studies. The self-efficacy of students who were not affected by the lockdown tended to increase; however, in the final year of study, the level of self-efficacy was similar for students affected and not affected by the lockdown. The social persuasion component could explain the alignment in self-efficacy levels. It means that individuals who receive verbal encouragement affirming their abilities to succeed in specific tasks are more likely to exert increased efforts and maintain persistence.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 4","pages":"362-372"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Bond Strength between the Acrylic Teeth and Reinforced or Non-reinforced Complete Denture Base.","authors":"Martin Pavlin, Nenad Gubeljak, Jožef Predan, Robert Ćelić","doi":"10.15644/asc58/3/3","DOIUrl":"10.15644/asc58/3/3","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine whether the method of surface treatment of the acrylic teeth and reinforcement of the denture base (carbon fibers) affect the reduction of stress concentration for gap initiation at the interface of acrylic teeth and denture base as a measure of bond strength.</p><p><strong>Materials and methods: </strong>Samples of cross-sections of acrylic teeth and denture base were isolated from four pairs of complete acrylic dentures (with and without reinforcement of the denture base) and were subsequently subjected to compressive loading in a universal testing machine simulating two different occlusions. Selected groups of acrylic teeth (central incisors, first premolars, and first molars) from complete dentures were treated in various ways (untreated, mechanical, chemical, and mechanical-chemical). The gap size at the interface of acrylic tooth and denture base was measured using a light inverted microscope on selected acrylic teeth of individual quadrants. The one-way analysis of variance was used to investigate the influence of denture base reinforcement and different methods of surface treatment of the acrylic tooth on bond strength at the level of statistical significance of p ≤ 0.001.</p><p><strong>Results: </strong>Microscopic analysis of gap size measured at five selected points at the interface between the acrylic teeth and the base of the complete denture ranged from 40 to 144 micrometers. The one-way analysis of variance showed a statistically significant difference between the arithmetic means of the measured gap sizes concerning different methods of surface treatment of the acrylic teeth.</p><p><strong>Conclusion: </strong>The fracture strength, or load-bearing capacity, of complete dentures reinforced with carbon fibers was increased compared to complete dentures with non-reinforced bases. Reduction in gap size at the interface between the acrylic teeth and the base of complete dentures was influenced by the mechanical-chemical treatment of the lower surface of acrylic teeth, while reinforcement of the complete denture base with carbon fibers had no effect on the bond strength.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 3","pages":"218-232"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age Determination Based on Open Apex Measurement in the Developing Dentition: Comparing the Accuracy of the Belgrade Age Formula (BAF) with the European Formula on a Bosnian Children Population.","authors":"Emina Dervišević, Aida Selmanagić, Petar Milovanović, Ksenija Zelić-Mihajlović","doi":"10.15644/asc58/3/2","DOIUrl":"10.15644/asc58/3/2","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to test the Belgrade age formula based on the calculation of open apices of two permanent mandibular teeth on a Bosnian children population and compare its accuracy with European formula.</p><p><strong>Material and methods: </strong>We included 412 panoramic images of children (204 female and 208 male) 7 to 13 years of age. We assessed the performance of both methods (the European formula and the BAF) and compared their results in both sexes.</p><p><strong>Results: </strong>The results showed a high point of average understanding between the age estimated by chronological age and the European formula (ICC=0.927, 95% CI 0.904-0.944, p<0.001)., BAF also confirmed a high point of agreement with chronological age in boys (ICC=0.941, 95% CI 0.922-0.955, p<0.001) and girls (ICC=0.913, 95% CI 0.886-0.934, p<0.001). BAF was better than the European formula in estimating age in males (0.4448±0.9135 vs. 0.9807±0.9422).</p><p><strong>Conclusion: </strong>The Belgrade Age Formula (BAF) demonstrates comparable accuracy to the European formula for age determination in Bosnian children, while offering the advantage of being easier and faster to use. This makes the BAF a practical alternative in clinical and research settings where efficiency and reliability are essential.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 3","pages":"209-217"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Different Irrigation Protocols on the Bond Strength of Self-Adhesive Resin Cement to Radicular Dentin.","authors":"Mihaela Vrebac, Dora Mohenski, Eva Klarić Sevar, Bernard Janković, Lana Bergman, Ana Ivanišević","doi":"10.15644/asc58/3/4","DOIUrl":"10.15644/asc58/3/4","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to investigate the influence of different irrigation protocols on the shear bond strength (SBS) of self-adhesive resin cement (SARC) on primed radicular dentin.</p><p><strong>Methods: </strong>Radicular dentin slabs (N=58) were embedded in acrylic. Subsequently, they were polished and randomly assigned to five experimental groups (N=8-12) and one control group, CG (N=8). Irrigation solutions used were 2.5% sodium hypochlorite (H), 17% ethylenediamine tetraacetic acid (EDTA), 9% etidronic acid with hypochlorite (HEDP), 0.9% saline solution (SS), and 2% chlorhexidine (CHX). Each experimental group underwent a different irrigation protocol for two minutes: 1) H/EDTA/H, 2) HEDP, 3) H/EDTA/CHX, 4) H/EDTA/SS and 5) HEDP/SS. The CG samples were not treated with any irrigation solution. After drying, the adhesive-enhancing primer (AEP) and dual-curing SARC were applied to the radicular dentin using molds corresponding to the Ultra Tester (Ultradent Products, South Jordan, USA). The specimens were stored at 37 °C in distilled water and broken after 10 days in shear mode. The results were analyzed using ANOVA and post-hoc Games-Howell test, α=0.05.</p><p><strong>Results: </strong>CG exhibited the highest SBS. With the exception of HEDP and HEDP/SS, all experimental groups showed significantly lower SBS compared to CG (p<0.05).</p><p><strong>Conclusions: </strong>HEDP appears to be an adequate solution for cleaning the root canal prior to dentin priming and fiber post cementation with SARC.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 3","pages":"233-244"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Root Canal Morphology of Third Molars in the Bosnia and Herzegovina Population.","authors":"Aida Džanković, Amra Mahmutovic, Samra Korač, Irmina Tahmiščija, Alma Konjhodžić, Lajla Hasić-Branković, Naida Hadžiabdić","doi":"10.15644/asc58/3/6","DOIUrl":"10.15644/asc58/3/6","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to evaluate the root canal morphology of third molars in the Bosnia-Herzegovina population.</p><p><strong>Materials and methods: </strong>A total of 241 extracted third molars (105 maxillary and 136 mandibular) were subjected to a clearing procedure. The specimens were categorized into ten groups based on the Alavi classification for maxillary third molars (MaxTMs), and six groups were based on the Gulabivala classification for mandibular third molars (ManTMs). Root canal type according to the Vertucci classification, the presence and position of lateral canals, and intercanal communication were analyzed using a stereomicroscope x15.</p><p><strong>Results: </strong>MaxTMs had three roots in 77.13% of the samples. Among MaxTMs, the most common morphology was three fused roots (33.33%) and Vertucci's type VIII (54. 28% of samples in Alavi's Group IV). 60.29% of ManTMs have two separate roots (Gulabivala's Groups II and III). The most prevalent types in mesial roots were type I (41.46% in Group II) and type IV (48.78% in Group III), although type I predominated in distal roots (91.24% and 100% in Groups II and III, respectively).</p><p><strong>Conclusion: </strong>Single-rooted third molars usually have a root canal morphology that is more favorable for endodontic treatment. In contrast, third molars with fused roots often have more complex root canal morphology.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 3","pages":"255-266"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Steroidal Anti-Inflammatory Drugs for Oral Surgery: A Systematic Review and Meta-Analysis.","authors":"Cristiana Palmela Pereira, Madalena Mourão Tropa, Rui Santos, Ana Rodrigues, Maria Fátima Brilhante, Francisco Azevedo Coutinho, Adriana Resende, Diana Augusto, Francisco Salvado E Silva","doi":"10.15644/asc58/3/7","DOIUrl":"10.15644/asc58/3/7","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the present study was to investigate if there are differences in mitigation acute pain following oral surgery procedures within a hospital setting and regarding various medication regimens.</p><p><strong>Materials and methods: </strong>A systematic literature search was performed between the years 2013 and 2023, including the databases PUBMED, Cochrane and Scopus, to identify the clinical trials investigating the prescription of non-steroidal (NSAID's) anti-inflammatory drugs before or after an oral surgery. A meta-analysis with meta-regression model was employed on the primary and secondary outcomes, such as pain, swelling and trismus.</p><p><strong>Results: </strong>Thirty-six articles were included, 6 of them being retrospective and 30 prospective, with a higher proportion of women than men, at a ratio of 1.34:1 and an average age of 31.9 years. Drugs with medium duration of action demonstrated lower values for pain and swelling. Regarding these parameters, pain and swelling, propionic acid derivatives and acetic acid derivatives exhibited lower values respectively.</p><p><strong>Conclusions: </strong>The quality of evidence was low to very low- certainty. The meta-analysis suggests that postoperative pain, swelling and trismus following oral surgery management may be effectively treated with the following drugs: NSAID medium-duration action drugs; propionic acid derivatives for lower pain levels and acetic acid derivatives for lower swelling measures; and Ibuprofen 400mg every 8h for 3 days or less.</p><p><strong>Clinical relevance: </strong>Anti-inflammatory and analgesic drugs are prescribed to prevent or treat dental pain. Ibuprofen 400mg was the most prescribed drug after or before an oral surgery procedure. However, the evidence is indirect and needs to be interpreted with caution.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"58 3","pages":"267-290"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}