Gömülü Üçüncü Molar Cerrahisinde Postoperatif Bakım: Ağrı, Ödem ve Trismus Yönetimi ile Analjezi Planları

Özet

Referanslar

Susarla SM, Dodson TB. Risk factors for third molar extraction difficulty. Journal of Oral and Maxillofacial Surgery. 2004;62(11): 1363–1371. https://doi.org/10.1016/j.joms.2004.05.214

Bailey E, Kashbour W, Shah N, et al. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database of Systematic Reviews. 2020;(7): CD004345. https://doi.org/10.1002/14651858.CD004345.pub3

Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surgery, Oral Medicine, Oral Pathology. 1993;76(4): 412–420. https://doi.org/10.1016/0030-4220(93)90005-O

Savin J, Ogden G. Third molar surgery—a preliminary report on aspects affecting quality of life in the early postoperative period. British Journal of Oral and Maxillofacial Surgery. 1997;35(4): 246–253. https://doi.org/10.1016/S0266-4356(97)90042-5

Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. Journal of Oral and Maxillofacial Surgery. 2003;61(12): 1379–1389. https://doi.org/10.1016/j.joms.2003.04.001

Zhang JM, An J. Cytokines, inflammation, and pain. International Anesthesiology Clinics. 2007;45(2): 27–37. https://doi.org/10.1097/AIA.0b013e318034194e

de Santana-Santos T, de Souza-Santos JA, Martins-Filho PR, et al. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Medicina Oral, Patología Oral y Cirugía Bucal. 2012;18(1): e65. https://doi.org/10.4317/medoral.18039

McGrath C, Comfort MB, Lo ECM, et al. Changes in life quality following third molar surgery: the immediate postoperative period. Br Dent J. 2003;194(5):265–268.

Selvido DI, Bhattarai BP, Shrestha R, et al. Review of dexamethasone administration for management of complications in postoperative third molar surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2021;47(5): 341–350. https://doi.org/10.5125/jkaoms.2021.47.5.341

Osunde O, Adebola R, Omeje U. Management of inflammatory complications in third molar surgery: a review of the literature. African Health Sciences. 2011;11(3): 530.

Ngeow WC, Lim D. Do corticosteroids still have a role in the management of third molar surgery? Advances in Therapy. 2016;33(7): 1105–1139.

Colorado-Bonnin M, Valmaseda-Castellón E, Berini-Aytés L, et al. Quality of life following lower third molar removal. International Journal of Oral and Maxillofacial Surgery. 2006;35(4): 343–347. https://doi.org/10.1016/j.ijom.2005.08.008

Maferano EF, Marques NP, Horliana ACRT, et al. Evaluating quality of life in third molar surgery: a scoping review of the postoperative symptom severity (PoSSe) scale. Medicina Oral, Patología Oral y Cirugía Bucal. 2025;30(2): e232–e239. https://doi.org/10.4317/medoral.26839

Karcz M, Papież M, Kurzydło W, et al. Pathophysiology of pain and mechanisms of neuromodulation: a narrative review (A Neuron Project). Journal of Pain Research. 2024;17: 3757–3790. https://doi.org/10.2147/JPR.S475351

Li Z, Zhang Y, Zhang J, et al. Molecular mechanisms of chronic pain and therapeutic interventions. MedComm. 2025;6(8): e70325. https://doi.org/10.1002/mco2.70325

Zhang Y, Zhang J, Li H, et al. Arachidonic acid metabolism in health and disease. MedComm. 2023;4(5): e363. https://doi.org/10.1002/mco2.363

Ricciotti E, FitzGerald GA. Prostaglandins and inflammation. Arteriosclerosis, Thrombosis, and Vascular Biology. 2011;31(5): 986–1000. https://doi.org/10.1161/ATVBAHA.110.207449

Ji RR, Chamessian A, Zhang YQ. Pain regulation by non-neuronal cells and inflammation. Science. 2016;354(6312): 572–577. https://doi.org/10.1126/science.aaf8924

Seymour R, Walton J. Pain control after third molar surgery. International Journal of Oral Surgery. 1984;13(6): 457–485. https://doi.org/10.1016/S0300-9785(84)80017-4

Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3): S2–S15. https://doi.org/10.1016/j.pain.2010.09.030

Pober JS, Sessa WC. Inflammation and the blood microvascular system. Cold Spring Harbor Perspectives in Biology. 2015;7(1): a016345. https://doi.org/10.1101/cshperspect.a016345

Yamada SI, Hasegawa T, Yoshimura N, et al. Prevalence of and risk factors for postoperative complications after lower third molar extraction: a multicenter prospective observational study in Japan. Medicine (Baltimore). 2022;101(32):e29989.https://doi.org/10.1097/MD.0000000000029989

Rakhshan V. Common risk factors for postoperative pain following the extraction of wisdom teeth. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2015;41(2): 59. https://doi.org/10.5125/jkaoms.2015.41.2.59

Ong CK, Lirk P, Tan CH, et al. An evidence-based update on nonsteroidal anti-inflammatory drugs. Clinical Medicine & Research. 2007;5(1): 19–34. https://doi.org/10.3121/cmr.2007.698

Myers AL, Jeske AH. Provider-directed analgesia for dental pain. Expert Review of Clinical Pharmacology. 2023;16(5): 435–451. https://doi.org/10.1080/17512433.2023.2206118

Pimenta RP, de Souza GM, Silva CR, et al. Preemptive use of anti-inflammatories and analgesics in oral surgery: a review of systematic reviews. Frontiers in Pharmacology. 2023;14: 1303382. https://doi.org/10.3389/fphar.2023.1303382

Moore PA, Hersh EV. Combining ibuprofen and acetaminophen for acute pain management after third-molar extractions: translating clinical research to dental practice. The Journal of the American Dental Association. 2013;144(8): 898–908. https://doi.org/10.14219/jada.archive.2013.0207

Franco-de La Torre L, Briseño-Marroquín B, Martínez-Rider R, et al. A meta-analysis of the analgesic efficacy of single doses of ibuprofen compared to traditional non-opioid analgesics following third molar surgery. Pharmaceuticals. 2021;14(4): 360. https://doi.org/10.3390/ph14040360

Esteller-Martínez V, García-Sabater L, Berini-Aytés L, et al. Analgesic efficacy of diclofenac sodium versus ibuprofen following surgical extraction of impacted lower third molars. Medicina Oral, Patología Oral y Cirugía Bucal. 2004;9(5): 448–453.

Isiordia-Espinoza MA, Pozos-Guillén AJ, Martínez-Rider R, et al. Postoperative administration of ketorolac compared to other drugs for pain control after third molar surgery: a meta-analysis of double-blind, randomized clinical trials. British Journal of Clinical Pharmacology. 2022;88(6): 2591–2604. https://doi.org/10.1111/bcp.15241

Moore RA, Derry S, McQuay HJ, et al. Single dose oral analgesics for acute postoperative pain in adults: an overview of Cochrane reviews. Cochrane Database of Systematic Reviews. 2015;(9). https://doi.org/10.1002/14651858.CD008659.pub2

Graham GG, Scott KF, Day RO. Tolerability of paracetamol. Drug Safety. 2005;28(3): 227–240. https://doi.org/10.2165/00002018-200528030-00004

McCrae JC, Morrison EE, MacIntyre IM, et al. Long-term adverse effects of paracetamol: a review. British Journal of Clinical Pharmacology. 2018;84(10): 2218–2230. https://doi.org/10.1111/bcp.13656

Rodríguez LAG, Hernández-Díaz S. Relative risk of upper gastrointestinal complications among users of acetaminophen and nonsteroidal anti-inflammatory drugs. Epidemiology. 2001;12(5): 570–576.

Kehlet H, Dahl JB. The value of “multimodal” or “balanced analgesia” in postoperative pain treatment. Anesthesia & Analgesia. 1993;77(5): 1048–1056.

McCorquodale C, Hogg M, Henderson K, et al. Opioid prescribing for acute postoperative pain: an overview of systematic reviews related to two consensus statements relevant at patient, prescriber, system and public health levels. BMC Anesthesiology. 2023;23(1): 294. https://doi.org/10.1186/s12871-023-02243-5

Ong CKS, Lirk P, Seymour RA, et al. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis. Anesthesia & Analgesia. 2005;100(3): 757–773. https://doi.org/10.1213/01.ANE.0000144428.98767.0E

Pedersen A. Interrelation of complaints after removal of impacted mandibular third molars. International Journal of Oral Surgery. 1985;14(3): 241–244. https://doi.org/10.1016/S0300-9785(85)80035-1

Markiewicz MR, Brady MF, Ding EL, et al. Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. Journal of Oral and Maxillofacial Surgery. 2008;66(9): 1881–1894. https://doi.org/10.1016/j.joms.2008.04.022

Rhen T, Cidlowski JA. Antiinflammatory action of glucocorticoids—new mechanisms for old drugs. New England Journal of Medicine. 2005;353(16): 1711–1723. https://doi.org/10.1056/NEJMra050541

De Oliveira GS, Almeida MD, Benzon HT, et al. Perioperative single dose systemic dexamethasone for postoperative pain: a meta-analysis of randomized controlled trials. Anesthesiology. 2011;115(3): 575–588.

Gonzalez-Morelos M, Pérez-González A, Martínez-Rider R, et al. Efficacy of methylprednisolone compared to other drugs for pain, swelling, and trismus control after third molar surgery: a meta-analysis. Healthcare. 2022;10: 1–12. https://doi.org/10.3390/healthcare10061028

Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clinical Science. 1998;94(6): 557–572. https://doi.org/10.1042/cs0940557

Van der Westhuijzen A, Becker PJ, Morkel J, et al. A randomized observer blind comparison of bilateral facial ice pack therapy with no ice therapy following third molar surgery. International Journal of Oral and Maxillofacial Surgery. 2005;34(3): 281–286. https://doi.org/10.1016/j.ijom.2004.05.006

Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. The American Journal of Sports Medicine. 2004;32(1): 251–261. https://doi.org/10.1177/0363546503260757

Graziani F, D’Aiuto F, Arduino PG, et al. Perioperative dexamethasone reduces post-surgical sequelae of wisdom tooth removal: a split-mouth randomized double-masked clinical trial. International Journal of Oral and Maxillofacial Surgery. 2006;35(3): 241–246. https://doi.org/10.1016/j.ijom.2005.07.010

Üstün Y, Erdoğan Ö, Esen E, et al. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2003;96(5): 535–539. https://doi.org/10.1016/S1079-2104(03)00464-5

Fernández-Martín U, Pérez-González A, Martínez-Rider R, et al. Effect of preoperative administration of dexamethasone vs. methylprednisolone in surgical extraction of impacted lower third molars: randomized controlled clinical trial. Journal of Clinical Medicine. 2024;13(16): 4614. https://doi.org/10.3390/jcm13164614

Miroshnychenko A, Brignardello-Petersen R, Carrasco-Labra A, et al. Acute postoperative pain due to dental extraction in the adult population: a systematic review and network meta-analysis. Journal of Dental Research. 2023;102(4): 391–401. https://doi.org/10.1177/00220345221139230

McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical Therapy. 2006;86(5): 710–725. https://doi.org/10.1093/ptj/86.5.710

Coulthard P, Bailey E, Esposito M, et al. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database of Systematic Reviews. 2014;(7). https://doi.org/10.1002/14651858.CD004345.pub2

Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Current Opinion in Anesthesiology. 2009;22(5): 588–593. https://doi.org/10.1097/ACO.0b013e328330373a

Green VG, Patel N, Smith H, et al. Evidence-based clinical practice guidelines for the management of acute dental pain. The American Journal of Emergency Medicine. 2025;89: 247–253. https://doi.org/10.1016/j.ajem.2024.12.054

Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: a clinical practice guideline. The Journal of Pain. 2016;17(2): 131–157. https://doi.org/10.1016/j.jpain.2015.12.008

Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral and Maxillofacial Surgery Clinics. 2007;19(1): 117–128.

Referanslar

Susarla SM, Dodson TB. Risk factors for third molar extraction difficulty. Journal of Oral and Maxillofacial Surgery. 2004;62(11): 1363–1371. https://doi.org/10.1016/j.joms.2004.05.214

Bailey E, Kashbour W, Shah N, et al. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database of Systematic Reviews. 2020;(7): CD004345. https://doi.org/10.1002/14651858.CD004345.pub3

Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surgery, Oral Medicine, Oral Pathology. 1993;76(4): 412–420. https://doi.org/10.1016/0030-4220(93)90005-O

Savin J, Ogden G. Third molar surgery—a preliminary report on aspects affecting quality of life in the early postoperative period. British Journal of Oral and Maxillofacial Surgery. 1997;35(4): 246–253. https://doi.org/10.1016/S0266-4356(97)90042-5

Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. Journal of Oral and Maxillofacial Surgery. 2003;61(12): 1379–1389. https://doi.org/10.1016/j.joms.2003.04.001

Zhang JM, An J. Cytokines, inflammation, and pain. International Anesthesiology Clinics. 2007;45(2): 27–37. https://doi.org/10.1097/AIA.0b013e318034194e

de Santana-Santos T, de Souza-Santos JA, Martins-Filho PR, et al. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Medicina Oral, Patología Oral y Cirugía Bucal. 2012;18(1): e65. https://doi.org/10.4317/medoral.18039

McGrath C, Comfort MB, Lo ECM, et al. Changes in life quality following third molar surgery: the immediate postoperative period. Br Dent J. 2003;194(5):265–268.

Selvido DI, Bhattarai BP, Shrestha R, et al. Review of dexamethasone administration for management of complications in postoperative third molar surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2021;47(5): 341–350. https://doi.org/10.5125/jkaoms.2021.47.5.341

Osunde O, Adebola R, Omeje U. Management of inflammatory complications in third molar surgery: a review of the literature. African Health Sciences. 2011;11(3): 530.

Ngeow WC, Lim D. Do corticosteroids still have a role in the management of third molar surgery? Advances in Therapy. 2016;33(7): 1105–1139.

Colorado-Bonnin M, Valmaseda-Castellón E, Berini-Aytés L, et al. Quality of life following lower third molar removal. International Journal of Oral and Maxillofacial Surgery. 2006;35(4): 343–347. https://doi.org/10.1016/j.ijom.2005.08.008

Maferano EF, Marques NP, Horliana ACRT, et al. Evaluating quality of life in third molar surgery: a scoping review of the postoperative symptom severity (PoSSe) scale. Medicina Oral, Patología Oral y Cirugía Bucal. 2025;30(2): e232–e239. https://doi.org/10.4317/medoral.26839

Karcz M, Papież M, Kurzydło W, et al. Pathophysiology of pain and mechanisms of neuromodulation: a narrative review (A Neuron Project). Journal of Pain Research. 2024;17: 3757–3790. https://doi.org/10.2147/JPR.S475351

Li Z, Zhang Y, Zhang J, et al. Molecular mechanisms of chronic pain and therapeutic interventions. MedComm. 2025;6(8): e70325. https://doi.org/10.1002/mco2.70325

Zhang Y, Zhang J, Li H, et al. Arachidonic acid metabolism in health and disease. MedComm. 2023;4(5): e363. https://doi.org/10.1002/mco2.363

Ricciotti E, FitzGerald GA. Prostaglandins and inflammation. Arteriosclerosis, Thrombosis, and Vascular Biology. 2011;31(5): 986–1000. https://doi.org/10.1161/ATVBAHA.110.207449

Ji RR, Chamessian A, Zhang YQ. Pain regulation by non-neuronal cells and inflammation. Science. 2016;354(6312): 572–577. https://doi.org/10.1126/science.aaf8924

Seymour R, Walton J. Pain control after third molar surgery. International Journal of Oral Surgery. 1984;13(6): 457–485. https://doi.org/10.1016/S0300-9785(84)80017-4

Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3): S2–S15. https://doi.org/10.1016/j.pain.2010.09.030

Pober JS, Sessa WC. Inflammation and the blood microvascular system. Cold Spring Harbor Perspectives in Biology. 2015;7(1): a016345. https://doi.org/10.1101/cshperspect.a016345

Yamada SI, Hasegawa T, Yoshimura N, et al. Prevalence of and risk factors for postoperative complications after lower third molar extraction: a multicenter prospective observational study in Japan. Medicine (Baltimore). 2022;101(32):e29989.https://doi.org/10.1097/MD.0000000000029989

Rakhshan V. Common risk factors for postoperative pain following the extraction of wisdom teeth. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2015;41(2): 59. https://doi.org/10.5125/jkaoms.2015.41.2.59

Ong CK, Lirk P, Tan CH, et al. An evidence-based update on nonsteroidal anti-inflammatory drugs. Clinical Medicine & Research. 2007;5(1): 19–34. https://doi.org/10.3121/cmr.2007.698

Myers AL, Jeske AH. Provider-directed analgesia for dental pain. Expert Review of Clinical Pharmacology. 2023;16(5): 435–451. https://doi.org/10.1080/17512433.2023.2206118

Pimenta RP, de Souza GM, Silva CR, et al. Preemptive use of anti-inflammatories and analgesics in oral surgery: a review of systematic reviews. Frontiers in Pharmacology. 2023;14: 1303382. https://doi.org/10.3389/fphar.2023.1303382

Moore PA, Hersh EV. Combining ibuprofen and acetaminophen for acute pain management after third-molar extractions: translating clinical research to dental practice. The Journal of the American Dental Association. 2013;144(8): 898–908. https://doi.org/10.14219/jada.archive.2013.0207

Franco-de La Torre L, Briseño-Marroquín B, Martínez-Rider R, et al. A meta-analysis of the analgesic efficacy of single doses of ibuprofen compared to traditional non-opioid analgesics following third molar surgery. Pharmaceuticals. 2021;14(4): 360. https://doi.org/10.3390/ph14040360

Esteller-Martínez V, García-Sabater L, Berini-Aytés L, et al. Analgesic efficacy of diclofenac sodium versus ibuprofen following surgical extraction of impacted lower third molars. Medicina Oral, Patología Oral y Cirugía Bucal. 2004;9(5): 448–453.

Isiordia-Espinoza MA, Pozos-Guillén AJ, Martínez-Rider R, et al. Postoperative administration of ketorolac compared to other drugs for pain control after third molar surgery: a meta-analysis of double-blind, randomized clinical trials. British Journal of Clinical Pharmacology. 2022;88(6): 2591–2604. https://doi.org/10.1111/bcp.15241

Moore RA, Derry S, McQuay HJ, et al. Single dose oral analgesics for acute postoperative pain in adults: an overview of Cochrane reviews. Cochrane Database of Systematic Reviews. 2015;(9). https://doi.org/10.1002/14651858.CD008659.pub2

Graham GG, Scott KF, Day RO. Tolerability of paracetamol. Drug Safety. 2005;28(3): 227–240. https://doi.org/10.2165/00002018-200528030-00004

McCrae JC, Morrison EE, MacIntyre IM, et al. Long-term adverse effects of paracetamol: a review. British Journal of Clinical Pharmacology. 2018;84(10): 2218–2230. https://doi.org/10.1111/bcp.13656

Rodríguez LAG, Hernández-Díaz S. Relative risk of upper gastrointestinal complications among users of acetaminophen and nonsteroidal anti-inflammatory drugs. Epidemiology. 2001;12(5): 570–576.

Kehlet H, Dahl JB. The value of “multimodal” or “balanced analgesia” in postoperative pain treatment. Anesthesia & Analgesia. 1993;77(5): 1048–1056.

McCorquodale C, Hogg M, Henderson K, et al. Opioid prescribing for acute postoperative pain: an overview of systematic reviews related to two consensus statements relevant at patient, prescriber, system and public health levels. BMC Anesthesiology. 2023;23(1): 294. https://doi.org/10.1186/s12871-023-02243-5

Ong CKS, Lirk P, Seymour RA, et al. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis. Anesthesia & Analgesia. 2005;100(3): 757–773. https://doi.org/10.1213/01.ANE.0000144428.98767.0E

Pedersen A. Interrelation of complaints after removal of impacted mandibular third molars. International Journal of Oral Surgery. 1985;14(3): 241–244. https://doi.org/10.1016/S0300-9785(85)80035-1

Markiewicz MR, Brady MF, Ding EL, et al. Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. Journal of Oral and Maxillofacial Surgery. 2008;66(9): 1881–1894. https://doi.org/10.1016/j.joms.2008.04.022

Rhen T, Cidlowski JA. Antiinflammatory action of glucocorticoids—new mechanisms for old drugs. New England Journal of Medicine. 2005;353(16): 1711–1723. https://doi.org/10.1056/NEJMra050541

De Oliveira GS, Almeida MD, Benzon HT, et al. Perioperative single dose systemic dexamethasone for postoperative pain: a meta-analysis of randomized controlled trials. Anesthesiology. 2011;115(3): 575–588.

Gonzalez-Morelos M, Pérez-González A, Martínez-Rider R, et al. Efficacy of methylprednisolone compared to other drugs for pain, swelling, and trismus control after third molar surgery: a meta-analysis. Healthcare. 2022;10: 1–12. https://doi.org/10.3390/healthcare10061028

Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clinical Science. 1998;94(6): 557–572. https://doi.org/10.1042/cs0940557

Van der Westhuijzen A, Becker PJ, Morkel J, et al. A randomized observer blind comparison of bilateral facial ice pack therapy with no ice therapy following third molar surgery. International Journal of Oral and Maxillofacial Surgery. 2005;34(3): 281–286. https://doi.org/10.1016/j.ijom.2004.05.006

Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. The American Journal of Sports Medicine. 2004;32(1): 251–261. https://doi.org/10.1177/0363546503260757

Graziani F, D’Aiuto F, Arduino PG, et al. Perioperative dexamethasone reduces post-surgical sequelae of wisdom tooth removal: a split-mouth randomized double-masked clinical trial. International Journal of Oral and Maxillofacial Surgery. 2006;35(3): 241–246. https://doi.org/10.1016/j.ijom.2005.07.010

Üstün Y, Erdoğan Ö, Esen E, et al. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2003;96(5): 535–539. https://doi.org/10.1016/S1079-2104(03)00464-5

Fernández-Martín U, Pérez-González A, Martínez-Rider R, et al. Effect of preoperative administration of dexamethasone vs. methylprednisolone in surgical extraction of impacted lower third molars: randomized controlled clinical trial. Journal of Clinical Medicine. 2024;13(16): 4614. https://doi.org/10.3390/jcm13164614

Miroshnychenko A, Brignardello-Petersen R, Carrasco-Labra A, et al. Acute postoperative pain due to dental extraction in the adult population: a systematic review and network meta-analysis. Journal of Dental Research. 2023;102(4): 391–401. https://doi.org/10.1177/00220345221139230

McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical Therapy. 2006;86(5): 710–725. https://doi.org/10.1093/ptj/86.5.710

Coulthard P, Bailey E, Esposito M, et al. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database of Systematic Reviews. 2014;(7). https://doi.org/10.1002/14651858.CD004345.pub2

Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Current Opinion in Anesthesiology. 2009;22(5): 588–593. https://doi.org/10.1097/ACO.0b013e328330373a

Green VG, Patel N, Smith H, et al. Evidence-based clinical practice guidelines for the management of acute dental pain. The American Journal of Emergency Medicine. 2025;89: 247–253. https://doi.org/10.1016/j.ajem.2024.12.054

Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: a clinical practice guideline. The Journal of Pain. 2016;17(2): 131–157. https://doi.org/10.1016/j.jpain.2015.12.008

Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral and Maxillofacial Surgery Clinics. 2007;19(1): 117–128.

Yayınlanan

20 Mayıs 2026

Lisans

Lisans