title: [Efficacy and safety of mouthwash diclofenac in oral or periodontal surgery].
abstract: BACKGROUND
  In a multicentre clinical study was evaluated the efficacy and safety of a mouthwash containing diclofenac 0.074% in patients undergone to oral or periodontal surgery.
  
  
  METHODS
  Multicentre clinical open study. The patients rinsed for 1 min twice a day with diclofenac mouthwash for 7 days. After the baseline measurements of all parameters, spontaneous pain and burning were evaluated daily, while redness and oedema after 3 and 7 days of treatment. Seventy-nine patients (48 F, 31 M), mean aged 42.5 years+/-13.1 SD, with pain intensity at the end of anaesthesia effect equivalent to 54.8 mm+/-15.1 SD of a visual analogue scale were evaluated for efficacy.
  
  
  RESULTS
  Spontaneous pain was significantly reduced by diclofenac mouthwash, versus baseline, in the first day of treatment. After a week of treatment, intensity was reduced more than 88% (p<0.01). Burning, redness and oedema too evidenced a similar behaviour, with absence of the sign respectively superior to 87%, 72% and 91 % (p<0.01). The physician's and patient's final judgement overlapped, recording a resolution/improvement in 94.1% of cases, particularly improvement in 77.2% for the physician and in 70.9% for the patients. Palatability was judged pleasant/acceptable in all cases.
  
  
  CONCLUSIONS
  Diclofenac mouthwash is endowed by very good efficacy and safety in the treatment of inflammatory condition of the buccal cavity following oral or periodontal surgery.
authors.affiliation: Ambulatorio Dentistico, Locarno, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Tramèr
authors.forename: C
authors.initials: C
authors.lastname: Bassetti
authors.forename: C
authors.initials: C
authors.lastname: Metzler
authors.forename: A
authors.initials: A
authors.lastname: Morgantini
mesh_terms: D000293:Adolescent; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D004008:Diclofenac / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000601:surgery*; D009067:Mouthwashes / Q000009:adverse effects*; D010510:Periodontal Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D009067:Mouthwashes; D004008:Diclofenac