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Post-operation pain management

The effectiveness of modern anaesthetics used during dental and surgical procedures technically excludes the possibility of pain during treatment - at least that’s what our patients have been reporting back to us through the last few years.
However, the reasons we have to deal with painkillers are the pains occurring after the local anaesthetics lose effect.

Our goal is to inform patients accurately about the type and intensity of the pain to be expected, and choose the most suitable painkiller and its proper dosage for the patient in question.

While setting up the treatment plan, we have to pay as much consideration to the choice and dosage of the proper painkiller, as to the operation or procedure itself. Pain management has to be started before the procedure, and the patient has to go on with it 12-48 hours after the treatment (operation) has been carried out. The reason for this is that the highest level of pain occurs in the 6-12th hour following the procedures. Painkillers have to be taken by the patient during this time continually, according to the exact directions of the dentist.

Painkiller active ingredients and their risks:

We must not neglect the fact that painkillers are medicines with a strong effects! Almost all of the kinds used in dentistry can cause damage to the stomach and intestines if the patient is taking them irresponsibly and without the oversight of the dentist. Thus it is important that these are used according to the dentist’s directions and under their supervision!

Some active ingredients:

1. Acetylsalicylic acid (also the active ingredient of Aspirin)
- mild painkilling properties
- sideeffects: heartburn, ulcers
2. Ibuprofen derivatives
- stronger effect
- easy to overdose
3. Medicines containing Diclofenac
- excellent painkilling properties
BUT!
- often causes ulcers
- can only be taken under constant supervision in case of high blood pressure or heart inefficiency!
4. Medicines with Nimesulid active ingredient
- It’s as effective as medicines containing diclofenac, with considerably fewer side-effects