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Nicotine Spray May Relieve Surgical Pain | Dentist Beverly Hills, Dentist Los Angeles
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Nicotine Spray May Relieve Surgical Pain

Posted by Z Dental Group - February 3rd, 2011

INTELIHEALTH – A small study has found that using nicotine nasal spray before wisdom tooth removal may reduce pain after the surgery. Nicotine nasal spray is a type of nicotine replacement therapy that can be used to help people stop smoking.

Twenty patients were enrolled in the study. They needed all four wisdom teeth removed. This was done over two visits.

Patients were randomly assigned to receive either nicotine nasal spray or a placebo (fake) spray and wisdom teeth were extracted on one side of the mouth. At the second extraction visit patients received the opposite spray; for example, if they had gotten nicotine spray for the first extractions, they now received placebo spray.

For five days after each visit, people used a phone system to submit information about their pain levels. They also reported on nausea levels and how much pain medicine they used.

People reported significantly less pain with the nicotine spray than with the placebo spray. But they did not use less pain medicine. They also did not report less nausea.

There was a small increase in heart rate after the nicotine spray was used, but no differences in blood pressure. An increase in heart rate is a common side effect of nicotine nasal spray.

The study findings suggest that further investigation of nicotine spray is indicated to see if it can be used in routine clinical practice to reduce pain following dental surgery.

Nicotine has been reported to have pain-relieving properties. A small 2004 study found that nicotine nasal spray reduced pain and morphine use in women after uterine surgery.

The study appears in the January 20 issue of the Journal of Oral and Maxillofacial Surgery.

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