Page last updated: 2024-10-30

ketorolac and Teeth, Impacted

ketorolac has been researched along with Teeth, Impacted in 12 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Research Excerpts

ExcerptRelevanceReference
"The primary outcome variable was the postoperative pain level, measured with a Visual Analogue Scale."3.01Is Dexamethasone superior to Ketorolac in reducing pain, swelling and trismus following mandibular third molar removal? A split mouth triple-blind randomized clinical trial. ( Araújo, FA; Barros, AM; Lucena, EE; Martins-de-Barros, AV; Sette de Souza, PH; Siqueira, AK, 2021)
"The difference in postoperative pain was assessed by four primary points: pain intensity as measured by a 10 mm visual analogue scale hourly for 12 h, median time to rescue analgesics, number of analgesics consumed and patient's overall 5-point global assessment scale."2.79Comparative study of intravenous Tramadol versus Ketorolac for preventing postoperative pain after third molar surgery--a prospective randomized study. ( Gopalraju, P; Lalitha, RM; Prasad, K; Ranganath, K, 2014)
"Pain, trismus, and swelling after lower third molar extraction, independent of surgical difficulty, were successfully controlled by sublingual ketorolac (10 mg 4 times daily) or sublingual piroxicam (20 mg once daily), and no significant differences were observed between the NSAIDs evaluated."2.77Sublingual ketorolac and sublingual piroxicam are equally effective for postoperative pain, trismus, and swelling management in lower third molar removal. ( Brozoski, DT; Calvo, AM; Colombini-Ishikiriama, BL; Dionísio, TJ; Faria, FA; Giglio, FP; Lauris, JR; Modena, KC; Ribeiro, DA; Santos, CF; Trindade, PA, 2012)
" Efficacy assessments included pain intensity, which was measured on a 0- to 100-mm visual analog scale, total pain relief, and global pain evaluation up to 8 hours after dosing or until patients required rescue analgesia."2.75Intranasal ketorolac for pain secondary to third molar impaction surgery: a randomized, double-blind, placebo-controlled trial. ( Grant, GM; Mehlisch, DR, 2010)
"The difference in postoperative pain was assessed by four primary end-points: pain intensity as measured by a 100-mm visual analogue scale hourly for 12 h, median time to rescue analgesic, postoperative acetaminophen consumption, and patient's global assessment."2.71Preoperative intravenous tramadol versus ketorolac for preventing postoperative pain after third molar surgery. ( Ong, KS; Tan, JM, 2004)
"The mean postoperative pain was measured for both groups."1.91Efficacy of Oral Toradol (Ketorolac) Compared to Oral Tramadol as a Preemptive Analgesic in Impacted Third Molar Surgery. ( Fazal, M; Rao, U, 2023)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (8.33)18.2507
2000's3 (25.00)29.6817
2010's6 (50.00)24.3611
2020's2 (16.67)2.80

Authors

AuthorsStudies
Rao, U1
Fazal, M1
Martins-de-Barros, AV1
Barros, AM1
Siqueira, AK1
Lucena, EE1
Sette de Souza, PH1
Araújo, FA1
Gopalraju, P1
Lalitha, RM1
Prasad, K1
Ranganath, K1
Isiordia-Espinoza, MA3
Pozos-Guillen, A1
Martinez-Rider, R3
Perez-Urizar, J3
Grant, GM1
Mehlisch, DR1
Pozos-Guillén, AJ1
Herrera-Abarca, JE1
Sánchez-Prieto, M1
Tobías-Azúa, F1
Reyes-García, JG1
Trindade, PA1
Giglio, FP1
Colombini-Ishikiriama, BL1
Calvo, AM1
Modena, KC1
Ribeiro, DA1
Dionísio, TJ1
Brozoski, DT1
Lauris, JR1
Faria, FA1
Santos, CF1
Dionne, RA1
Gordon, SM1
Rowan, J1
Kent, A1
Brahim, JS1
Ong, KS1
Tan, JM1
Pozos-Guillén, Ade J1
Aguirre-Bañuelos, P1
Arellano-Guerrero, A1
Hoyo-Vadillo, C1
Walton, GM1
Rood, JP1
Snowdon, AT1
Rickwood, D1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Preemptive Use of Etoricoxib and Dexamethasone: Effect on Early Bone Healing, Inflammatory Response, and Postoperative Parameters After Impacted Lower Third Molar Surgery[NCT05791721]Phase 490 participants (Actual)Interventional2021-10-11Completed
Evaluating Post-operative Pain Management Efficacy of Intra Nasal Ketorolac in Ambulatory Urological Surgeries-A Randomized Double-blinded Placebo Controlled Study[NCT01736358]Phase 450 participants (Actual)Interventional2012-10-31Terminated (stopped due to Interim analysis showed futility of primary endpoint)
Efficacy of the Combination Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Patients With Symptomatic Irreversible Pulpitis: a Randomized Clinical Trial.[NCT02110966]Phase 456 participants (Actual)Interventional2014-04-30Completed
Analgesic Efficacy of Preoperative Oral Administration of Dexketoprofen Trometamol in Third Molar Surgery, Compared to Postoperative Administration[NCT02380001]Phase 460 participants (Actual)Interventional2015-01-31Completed
A Prospective, Randomized, Double-blind Study Assessing the Efficacy of Intravenous (IV) Ibuprofen Versus IV Acetaminophen for the Treatment of Pain Following Orthopaedic Low Extremity Surgery[NCT03771755]62 participants (Actual)Interventional2017-07-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Incidence of Postoperative Side Effects

To find the incidence of immediate (until discharge) and 24hrs post operative side effects in the target population. (NCT01736358)
Timeframe: 24 hours after procedure

Interventionnumber of events (Number)
Intranasal Ketoralac0
Placebo0

Post Operative Pain Scale

To evaluate the post operative pain score using the Visual Analog Scale (VAS) 2 hours after surgery. The scale for VAS is 0 is no pain to 10 being the worst pain. (NCT01736358)
Timeframe: 2 hours after surgery

Interventionscore on a scale (Median)
Intranasal Ketoralac4
Placebo3

Post Operative Pain Score

To evaluate the post operative pain score using the Visual Analog Scale (VAS) 1 hour after surgery. The scale for VAS is 0 is no pain to 10 being the worst pain. (NCT01736358)
Timeframe: 1 hour after surgery

Interventionscore on a scale (Median)
Intranasal Ketoralac3.5
Placebo4.5

Post Operative Pain Score

To evaluate the post operative pain score using the Visual Analog Scale (VAS) 30 minutes after surgery. The scale for VAS is 0 is no pain to 10 being the worst pain. (NCT01736358)
Timeframe: 30 minutes after surgery

Interventionscore on a scale (Median)
Intranasal Ketoralac4
Placebo3.5

Post-operative Opioid Requirements

this study will assess the effect of perioperative usage of single-dose of intranasal ketorolac on post operative opioid requirements within 3 hours after surgery. (NCT01736358)
Timeframe: 3 hours after surgery

Interventionmg (Median)
Intranasal Ketoralac27.43
Placebo30

Trials

11 trials available for ketorolac and Teeth, Impacted

ArticleYear
Is Dexamethasone superior to Ketorolac in reducing pain, swelling and trismus following mandibular third molar removal? A split mouth triple-blind randomized clinical trial.
    Medicina oral, patologia oral y cirugia bucal, 2021, Mar-01, Volume: 26, Issue:2

    Topics: Dexamethasone; Double-Blind Method; Edema; Female; Humans; Ketorolac; Male; Molar, Third; Pain, Post

2021
Comparative study of intravenous Tramadol versus Ketorolac for preventing postoperative pain after third molar surgery--a prospective randomized study.
    Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 2014, Volume: 42, Issue:5

    Topics: Acetaminophen; Adolescent; Adult; Analgesics, Non-Narcotic; Anesthetics, Local; Anti-Inflammatory Ag

2014
Comparison of the analgesic efficacy of oral ketorolac versus intramuscular tramadol after third molar surgery: A parallel, double-blind, randomized, placebo-controlled clinical trial.
    Medicina oral, patologia oral y cirugia bucal, 2016, Sep-01, Volume: 21, Issue:5

    Topics: Analgesics; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Humans

2016
Intranasal ketorolac for pain secondary to third molar impaction surgery: a randomized, double-blind, placebo-controlled trial.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2010, Volume: 68, Issue:5

    Topics: Administration, Intranasal; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Cyclooxygenase Inhi

2010
Preemptive analgesic effectiveness of oral ketorolac plus local tramadol after impacted mandibular third molar surgery.
    Medicina oral, patologia oral y cirugia bucal, 2011, Sep-01, Volume: 16, Issue:6

    Topics: Administration, Oral; Administration, Topical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Ste

2011
Preemptive analgesic effectiveness of oral ketorolac plus local tramadol after impacted mandibular third molar surgery.
    Medicina oral, patologia oral y cirugia bucal, 2011, Sep-01, Volume: 16, Issue:6

    Topics: Administration, Oral; Administration, Topical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Ste

2011
Preemptive analgesic effectiveness of oral ketorolac plus local tramadol after impacted mandibular third molar surgery.
    Medicina oral, patologia oral y cirugia bucal, 2011, Sep-01, Volume: 16, Issue:6

    Topics: Administration, Oral; Administration, Topical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Ste

2011
Preemptive analgesic effectiveness of oral ketorolac plus local tramadol after impacted mandibular third molar surgery.
    Medicina oral, patologia oral y cirugia bucal, 2011, Sep-01, Volume: 16, Issue:6

    Topics: Administration, Oral; Administration, Topical; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Ste

2011
Pre-emptive analgesic effectiveness of meloxicam versus tramadol after mandibular third molar surgery: a pilot study.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2012, Volume: 70, Issue:1

    Topics: Adolescent; Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method;

2012
Sublingual ketorolac and sublingual piroxicam are equally effective for postoperative pain, trismus, and swelling management in lower third molar removal.
    Oral surgery, oral medicine, oral pathology and oral radiology, 2012, Volume: 114, Issue:1

    Topics: Analysis of Variance; Cross-Over Studies; Cyclooxygenase Inhibitors; Double-Blind Method; Edema; Fem

2012
Dexamethasone suppresses peripheral prostanoid levels without analgesia in a clinical model of acute inflammation.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2003, Volume: 61, Issue:9

    Topics: Adult; Analgesia; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Dexamethasone; Dino

2003
Preoperative intravenous tramadol versus ketorolac for preventing postoperative pain after third molar surgery.
    International journal of oral and maxillofacial surgery, 2004, Volume: 33, Issue:3

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthetics, Local; Anti-Inflamm

2004
Analgesic efficacy of tramadol by route of administration in a clinical model of pain.
    Proceedings of the Western Pharmacology Society, 2005, Volume: 48

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-St

2005
Ketorolac and diclofenac for postoperative pain relief following oral surgery.
    The British journal of oral & maxillofacial surgery, 1993, Volume: 31, Issue:3

    Topics: Acetaminophen; Administration, Oral; Adolescent; Adult; Aged; Analgesics; Anti-Inflammatory Agents,

1993

Other Studies

1 other study available for ketorolac and Teeth, Impacted

ArticleYear
Efficacy of Oral Toradol (Ketorolac) Compared to Oral Tramadol as a Preemptive Analgesic in Impacted Third Molar Surgery.
    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2023, Volume: 33, Issue:8

    Topics: Analgesics; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Humans

2023