Study objective: To assess the effects of pretreatment with combination of acetaminophen, ibuprofen, caffeine, on the pain after surgery of impacted mandible third molars.
Type of study: randomized, double-blind, placebo controlled.
Study population: 108 patients having met the inclusion criteria and exclusion criteria, age range 18-65 years, regardless of gender, that were referred to Dental School, Hamadan University of Medical Sciences for Surgery of impacted mandible third molars in 2012, were presented randomize in two groups of 54 subjects (control and intervention).
Inclusion criteria: patients with impacted mandible third molar need surgery without pain, have a healthy body and able to take medications orally.
Exclusion criteria: presence of pain, the use of any pain killer before surgery, having certain medical conditions such as Contraindications for anesthesia, drug allergy, heart disease, thyroid toxicity, immune problems, hypertension, diabetes mellitus and renal and hepatic disease.
Interventions: for the control group placebo and for the intervention group combination of acetaminophen, Ibuprofen, caffeine is used.
Interventions time: the first doses (placebo and nova fen) is given 2 hours before the painful stimulation. The patient is taught only in the post-operative medication (Gelofen) that is moderate or severe pain to reach. The amount of analgesic drugs (Gelofen) and the amount of pain, using Visual Analog Scale (VAS), will be assessed up to 8 hours after surgery once every 2 hours (2-4-6-8 h).