The British journal of oral surgery
-
Comparative Study
Post-operative dental pain and analgesic efficacy. Part II. Analgesic usage and efficacy after dental surgery.
The analgesics taken by patients after oral and periodontal surgery were noted over a three day observation period. Analgesic consumption matched closely the pain experience. ⋯ However, those patients who reported taking aspirin recorded significantly less pain than those who took either paracetamol or combination analgesics. Analgesic efficacy was not related to dose, although a significant correlation was noted between the number of paracetamol tablets taken and pain severity.
-
Comparative Study
Post-operative dental pain and analgesic efficacy. Part I.
Two groups, each of 100 adult patients who had undergone either a periodontal or oral surgical procedure were asked to record their pain experience over a three day investigation period. The results show that post-operative dental pain is variable in its nature and intensity, but reaches its maximum intensity in the first 12 hours post-operatively. ⋯ Removal of impacted lower third molars and retained roots result in more post-operative pain than the various other operative procedures. The incidence and severity of post-operative pain showed no clear relationship to the duration of the surgical procedure.
-
A patient sustained a severe cranio-facial injury which included a transverse fracture of the middle cranial fossa through the sella turcica producing otorrhoea, rhinorrhoea, a bilateral abducents palsy and a large aero-coele. All gradually remitted spontaneously. The management of this patient and the patterns of cranial base fractures and their associated clinical features, particularly of the middle cranial fossa, are discussed.