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Objectives: To evaluate the anti-inflammatory and analgesic effect of Bromelain (pineapple extract) administered
orally in the postoperative after extraction of impacted lower molars.
Study Design: This is a prospective, placebo-controlled, unicentric, double-blind study; the sample size was 34
patients. The pre and postoperative outcomes, evaluated on the third (D3) and eighth day (D8), included inflam
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tion, pain and oral aperture, as well as the need for analgesics. One group received bromelain 150mg per day for
three days and 100mg on days 4 to 7. The other group received placebo in the same dosage. All outcomes wer
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recorded quantitatively and analyzed with the Mann-Whitney U test for independent samples.
Results: Although there were no statistically significant differences between the treatment groups, a trend towards
less inflammation and improved oral aperture was observed in the group that received bromelain, compared to the
group that received placebo. This trend can be attributed completely to random reasons, since there is no statistical
difference in the results.
Conclusions: Further studies are necessary to analyze different administration patterns and doses of bromelain for
the use in the postoperative of impacted third molars.
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