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In relation to prescription patterns, there was over the counter without prescription. [9‑11,13] The role
some variability in the preference for perioperative of steroids, especially dexamethasone, as adjuncts in
regimens versus postoperative prescription only. The postoperative pain management has also been reviewed.
role of a preoperative or loading dose of analgesic NSAIDs are also associated with side effects such as GI
medication before surgery has been recommended as bleeding and allergic reactions, and it is critical that these
a form of preemptive analgesia. [19,26] In our study, only drugs be prescribed cautiously. [19,24,25]
35.5% (n = 118) of our participants who preferred the Our study illustrates that the current trend of prescription
peri‑operative regimen gave due consideration to this of analgesic and anti‑inflammatory drugs for routine oral
method of analgesic prescription. implant surgery among Indian dentists is in accordance
The duration of prescription ranged from a self‑medication with the guidelines for management of dental pain
preference or "stat‑on‑symptoms" approach to the worldwide. However, evidence of prescription of drugs
medication being prescribed for 2 to 9 days post‑surgically. not primarily indicated for dental pain management and
Most authors recommend prescription duration of 4 to protocols not consistent with current recommendations,
6 days, and most of our study participants also fell into is noteworthy. It is essential that, to ensure safe delivery
this range. [16,27] All dentists in our study recommended the and avoidance of potential complications arising due to
oral route of delivery, while only a few used an additional these drugs, dental practitioners should be more aware
injection of NSAID drugs. Again, most authors recommend of the appropriate dose, dosage regimen and indications
only oral NSAID therapy for dental and postoperative for specific analgesics. Additionally, further research
pain. [16,27] is required to assess the outcomes, including adverse
effects, related to the prescription of these drugs for oral
When considering the method of prescription, it was seen implant surgery.
that fewer dentists wrote the brand names of the drugs
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54 Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015