Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 495
  • Home
  • Print this page
  • Email this page
Cover page of the Journal of Health Sciences
Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 142-146

Comparison of oral and sublingual piroxicam for management of postoperative pain after mandibular third molar surgery: A prospective, randomized study

Department of Maxillofacial Surgery, KLE VK Institute of Dental Sciences, Belgaum, Karnataka, India

Correspondence Address:
Shruti Shashikant Phulgirkar
Department of Maxillofacial Surgery, KLE VK Institute of Dental Sciences, Nehru Nagar, Belgaum, Karnataka
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2349-5006.191250

Rights and Permissions

Background and Objectives: Surgical extraction of the third molars has been one of the widely performed procedures of all the minor oral surgical procedures in oral and maxillofacial surgery. Inflammation is a critical part of the normal sequence of healing as well as is an important cause for postoperative sequelae. They include pain, restriction of mouth opening, and swelling which are a few reasons for discomfort to the patient. There are various measures for the management of these complications including administration of nonsteroidal anti-inflammatory drugs. This study was done to compare the clinical efficacy of oral and sublingual piroxicam in the management of postoperative pain after surgical removal of the lower third molars. Methodology: The study comprised thirty selected patients with bilaterally impacted mandibular third molars. Split-mouth study design was implicated such that the patients served as their own control. Group 1 consisted of patients who were given piroxicam orally, and Group 2 consisted of patients who were given sublingual preparation postoperatively. Subjective evaluation (visual analog scale) and objective evaluation (validated landmarks) were carried out for pain, swelling, and trismus for the postoperative days 1 st , 3 rd , and 7 th . Results: The results showed no significant differences with respect to postoperative pain, trismus, and swelling when the two routes of drug delivery, namely, oral and sublingual were compared. Furthermore, the amount of rescue analgesics taken was slightly higher in the oral group but not statistically significant. Conclusion: Within the limitations of the study, it can be concluded both oral and sublingual formulations of piroxicam show comparable results and that both are equally effective in the postoperative management of pain, trismus, and swelling after surgical removal of the third molar.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded245    
    Comments [Add]    

Recommend this journal