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Principles of Pain Management
1) Pain therapy is begun with non-narcotic analogies for mild to moderate pain. If these drugs are ineffective intermediate potency opioids such as codeine or its derivatives are combined with them. NSAIDs are effective in many symptoms of bone associated pain are as corticosteroids they also decrease stiffness, selling and tenderness. Opioids and NSAIDs induce rapid change in pain sensation.
2) Treatment of acute pain requires location, origin and cause of pain. Management implies target short-term symptomatic relief; be-cause the goal is to modify pain impulses during the period of tissue healing. NSAIDs can limit pain, swelling and erythema other agents given are muscle relaxants.
3) For severe or chronic pain analgesics are given at regular interval in adequate dose. Medication should never be prescribed as needed basis because pain will not resolve abruptly, oral medication is preferred, especially long acting, unless patients factor prohibit such.
4) Analgesics adjuvant such as tricyclic anti depressants are added to the drug regime if neural environment is suspected. Other adjuncts include anticonvulsants, antiarrhythmics, antihistamines, or phenothiazines these agents usually require several days.
Pain Control
One of the most important aspects of practice of dentistry is control or elimination of pain. In past pain has been seen closely associated with dentistry that the word pain and dentistry have become synonymous. Pain in m in past pain in many instances is considered as necessary element of every day living because it is a warning of trouble, in practice of dentistry we do not consider pain as a warning signal, but as an evil to be conquered.