Perbandingan Efektivitas Kalium Diklofenak dan Natrium Diklofenak Terhadap Pedema Pasca Odontektomi Molar Ketiga Mandibula
P encabutan gigi molar tiga impaksi merupakan salah satu prosedur yang paling sering dilakukan dalam prosedur bedah mulut dan dapat menimbulkan komplikasi pasca prosedur seperti nyeri, edema, dan trismus. Edema pasca operasi dapat mempengaruhi kemampuan sosialisasi dan aktifitas rutin pasien, terutama pada tiga hari pertama setelah pencabutan. Anti-inflamasi non steroid (AINS) telah terbukti memiliki efektivitas yang baik dalam mengatasi nyeri akut dan inflamasi. Penelitian double-blind RCT ini bertujuan untuk membandingkan efektivitas antara obat kalium diklofenak dengan natrium diklofenak mengurangi edema pasca pencabutan molar ketiga. Sebanyak 28 individu dengan kasus impaksi gigi molar ketiga dibagi menjadi 2 kelompok secara acak (n = 14), kemudian kelompok A diberikan tablet kalium diklofenak 50 mg dan kelompok B diberikan tablet natrium diklofenak 50 mg. Edema fasial diukur menggunakan meteran kain pada 5 parameter jarak dengan tiap parameter dimulai dari sudut mandibula ke tragus, komisura labial, tepi nasal, pogonion jaringan lunak, dan tepi eksterna orbita. Pengukuran dilakukan sesaat sebelum prosedur pencabutan, kemudian dilanjutkan pada hari ke 1, 3, dan 7 pasca pencabutan. Uji independent T-test dilakukan dalam menganalisa data pengukuran. Berdasarkan hasil penelitian, pemberian kalium diklofenak dan natrium diklofenak tidak menunjukkan perbedaan yang signifikan antara kedua obat dalam mereduksi edema fasial pada hari ke 1, 3, dan 7 (p > 0,05). Penelitian ini menunjukkan bahwa kedua formulasi diklofenak memiliki efektivitas yang setara dalam mengatasi edema pasca pencabutan impaksi gigi molar ketiga.
T he surgical removal of impacted third molars is one of the most frequently performed procedures in oral surgery and afterwards complications such as pain, swelling and trismus may occur. Post-operative swelling may affects the ability of the patient to interrelate and perform routines, especially during the first 3 days following oral surgery. NSAIDs have been proved to have a good efficacy for treating acute pain and inflammation worldwide. The aim of this double-blind RCT clinical trial is to compare the effect of potassium diclofenac 50 mg and sodium diclofenac 50 mg in relation to facial swelling following impacted third molar surgery. A total of 28 healthy individuals with impacted third molars were randomly assigned to 2 groups (n = 14) to which potassium diclofenac and sodium diclofenac were administered orally. Facial swelling was measured using a tape measure placed in 5 parameters all starting from the angle of the mandible to the tragus, lip commissure, tip of nasal, soft tissue of the gonion, and external orbita. Measurement was assessed directly before surgery, and subsequently on day 1, 3 and 7 following extractions. Independent T-test was used to analyze the data. Administration of potassium diclofenac and sodium diclofenac showed no significant difference in facial swelling reduction between the two drugs on postoperative day 1, 3 and 7 (p > 0.05). It was concluded that both the formulas of diclofenac are equally effective in controlling of swelling following a third molar removal.