COMPARATIVE EVALUATION OF PRE-OPERATIVE SUBMUCOSAL DEXAMETHASONE INJECTION IN MANDIBULAR 3RD MOLAR SURGERIES WITH THAT OF THE CONTROL GROUP
Background: Surgical removal of third molar is most common surgical procedures carried out in oral and maxillofacial surgery and is quite stressful for many patients. Surgical removal of third molar results in an intense inflammatory response that consists of edema, erythema, pain, warmth and loss of function
Objective: objective is to evaluate the efficacy of submucosally infiltrated dexamethasone in reducing inflammatory sequelae following surgical removal of lower third molar and its comparison with that of control group.
Methods: This study was conducted on 80 patients having mesio-angularly impaced mandibular third molars as an outpatient procedure in the Department of Oral Maxillofacial Surgery, they were randomly divided into two groups, each group of 40 patients. One group of patients were administered 8mg dexamethasone submucosally 5 mins prior to the surgery after achieving local anesthesia which was called as group A. Other group of patients received normal saline submucosally 5mins prior to the surgery called as group B. Swelling, pain and trismus were measured on the first, third and the seventh post-operative days.
Results: results of this study revealed that inj dexamethasone administered submucosally was effective in controlling post-operative swelling and mouth opening.
Conclusion: Submucosal route of dexamethasone is quite simple, cost effective, less invasive, painless, convenient to surgeon and the patient in minimizing the post-operative sequellae and discomfort associated with the surgical removal of impacted lower third molars.
Key Words: Dexamethasone, Submucosal, Pain, Swelling, Trismus and Third molar
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