Determine the Effect of Tramadol Injection as Adjuvant Anesthetic and Analgesia Following Surgical Removal of Mandibular Third Molar

Abstract

Objective: To establish the efficacy of mean pain control after submucosal tramadol injection compared to placebo after surgical removal of the impacted third molar.

Study Design: Quasi-Experimental Study.

Place and Duration of Study: Department of Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from Feb to Aug 2018.

Methodology: All the patients had symmetrical bilateral impactions of the third molar on an orthopantomogram. The surgical site was randomly selected, and those in Group-T received Tramadol injection submucosally adjacent to the extraction socket immediately after the first tooth extraction, and Group-P received Saline. After the second extraction, Group-T received a Saline injection, and Group-P received Tramadol in the same manner. Patients were followed 24 hours post-operative for pain grading at 2, 4 and 24 hours, frequency and concentration of analgesic intake and duration of anaesthesia.

Results: Mean age of participants was 23.80±2.80 years. Means of pain intensity of Group without Tramadol after 2, 4 and 24 hours of extraction are 8.40±0.90, 6.30±0.40 and 2.10 ± 0.40, respectively, and those with Tramadol are 5.90±0.50, 4.50±0.30 and 1.60±0.40 respectively.

Conclusion: Our study concluded that Tramadol was more effective in providing analgesia after third molar surgery than local anaesthesia alone.