Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 488–494 | Cite as

Pre-emptive Diclofenac Versus Ketoprofen as a Transdermal Drug Delivery System: How They Face

  • Pranavi JadhavEmail author
  • Ramen Sinha
  • Uday Kiran Uppada
  • Prabhat K. Tiwari
  • A. V. S. S. Subramanya Kumar
Original Article



To compare the analgesic efficacy of Diclofenac vis-a-vis Ketoprofen transdermal patch, in the management of immediate post-operative pain following orthognathic procedures.

Material and Method

A prospective, double-blinded, randomised controlled study was conducted among 50 subjects, between 2012 and 2015. These patients were diagnosed clinically and cephalometrically as skeletal and dental class II malocclusion and underwent bi-jaw surgical procedure. In total, 25 Diclofenac and 25 Ketoprofen transdermal patches, sealed in envelopes and numbered, were administered to subjects. The patches used, contained 100 mg of either Diclofenac or Ketoprofen and administered by a nurse prior to induction. Duration of analgesia, severity of pain using Visual Analog Scale, necessity of rescue analgesia (spontaneous pain > 5 on a 10-cm scale) and any other adverse effect associated with the drug were evaluated.


Mean duration of analgesia was significantly higher in the Ketoprofen group (20 h), compared to Diclofenac group (13 h) (p = 0.001). Rescue analgesia was required in 12% of subjects who received Diclofenac patch, compared to 4% in Ketoprofen group. None of the subjects showed any allergic reactions.


The study was designed to evaluate the efficacy of transdermal patch in reduction of post-operative pain in subjects undergoing bi-jaw surgeries. Subjects in both groups were comfortable and returned to early function. However, Ketoprofen transdermal patch had an edge over the Diclofenac transdermal patch with respect to analgesic efficacy.


Transdermal patch Bi-jaw surgery Immediate post-operative pain Duration of analgesia 



The authors would like to thank Dr. Anisha and Dr. Sasank for their general support and assistance.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  • Pranavi Jadhav
    • 1
    Email author
  • Ramen Sinha
    • 1
  • Uday Kiran Uppada
    • 1
  • Prabhat K. Tiwari
    • 1
  • A. V. S. S. Subramanya Kumar
    • 2
  1. 1.Department of Oral and Maxillofacial SurgeryHyderabadIndia
  2. 2.Department of AnaesthesiologySri Sai College of Dental SurgeryVikarabadIndia

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