The British journal of oral & maxillofacial surgery
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Br J Oral Maxillofac Surg · Feb 1997
Randomized Controlled Trial Clinical TrialThe effect of tramadol on dento-alveolar surgical pain.
The aim of the study was to assess the analgesic effect of tramadol in the relief of pain after dentoalveolar operations that involve the removal of bone and suturing. Four-hundred and fifty-two patients over the age of 18 years who were to undergo removal of impacted teeth (n = 362), removal of root (n = 79), or alveolectomy, enucleation of cysts, or removal of soft tissue (n = 11) under local anesthesia were studied. Patients were randomly allocated to receive tramadol 100 mg or 50 mg four times daily, or 50 mg twice daily, or placebo. ⋯ The advantages of tramadol continued over the next 2 days. There were no serious or unexpected adverse effects. It is concluded that tramadol is an effective analgesic after dentoalveolar operations.
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Two cases are reported in which retained wooden foreign bodies in the facial tissues posed considerable diagnostic difficulty and were the source of persistent and distressing symptoms. In both patients the embedded foreign material defied radiological identification and in case 1 the time between injury and final removal of the foreign body was 9 years. The cases are described to highlight the problems in managing penetrating injuries when there is the possibility that radiolucent material is implanted in the wound.