Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery
Aim: To evaluate the relative ability of 4mg dose of preoperative Dexamethasone, administered submucosally, to reduce the postoperative pain, swelling and trismus after third molar surgery. Materials and Methods: The total 40 patient required surgical removal of a single mandibular third molar w...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-04-01
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| Series: | Journal of Craniomaxillofacial Research |
| Subjects: | |
| Online Access: | https://jcr.tums.ac.ir/index.php/jcr/article/view/416 |
| _version_ | 1797840320873889792 |
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| author | Goran Lateef Fatah Bayad Jaza Mahmood Faris |
| author_facet | Goran Lateef Fatah Bayad Jaza Mahmood Faris |
| author_sort | Goran Lateef Fatah |
| collection | DOAJ |
| description |
Aim: To evaluate the relative ability of 4mg dose of preoperative Dexamethasone, administered
submucosally, to reduce the postoperative pain, swelling and trismus after third molar surgery.
Materials and Methods: The total 40 patient required surgical removal of a single mandibular
third molar were included and divided into two groups, the experimental group (20 cases)
received intraoperative submucosal injection of 4mg Dexamethasone buccally around the tooth at
three points after the onset of anesthesia and the control group (20 cases) received no drugs. The
maximum interincisal distance and facial contours were measured at baseline and at post-surgery
days 2 and 7. The measurement of pain was done using visual analog scale (VAS).
Results: There was a statistically significant reduction in the severity of postoperative edema in
the experimental group by the second postoperative day. While both groups saw a reduction in
discomfort and trismus, there were no statistically significant differences between them.
Conclusion: The findings support submucosal injection of Dexamethasone (4mg) to decrease
postoperative edema. Low-dose Dexamethasone injection at the surgical site enhances drug concentration
at the injury site without loss owing to diffusion or excretion. The submucosal technique
was significantly effective in reduction of postoperative swelling and trismus.
Keywords: Dexamethasone; Third molar; Pain; Trismus; Edema.
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| first_indexed | 2024-04-09T16:13:02Z |
| format | Article |
| id | doaj.art-0fcf9d3bf9c345ec866d1d92d4b27614 |
| institution | Directory Open Access Journal |
| issn | 2345-5489 2345-6213 |
| language | English |
| last_indexed | 2024-04-09T16:13:02Z |
| publishDate | 2023-04-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Craniomaxillofacial Research |
| spelling | doaj.art-0fcf9d3bf9c345ec866d1d92d4b276142023-04-24T07:20:42ZengTehran University of Medical SciencesJournal of Craniomaxillofacial Research2345-54892345-62132023-04-0193Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgeryGoran Lateef Fatah0Bayad Jaza Mahmood Faris1Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Sulaimani, Sulaimani, Iraq.Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Sulaimani, Sulaimani, Iraq. Aim: To evaluate the relative ability of 4mg dose of preoperative Dexamethasone, administered submucosally, to reduce the postoperative pain, swelling and trismus after third molar surgery. Materials and Methods: The total 40 patient required surgical removal of a single mandibular third molar were included and divided into two groups, the experimental group (20 cases) received intraoperative submucosal injection of 4mg Dexamethasone buccally around the tooth at three points after the onset of anesthesia and the control group (20 cases) received no drugs. The maximum interincisal distance and facial contours were measured at baseline and at post-surgery days 2 and 7. The measurement of pain was done using visual analog scale (VAS). Results: There was a statistically significant reduction in the severity of postoperative edema in the experimental group by the second postoperative day. While both groups saw a reduction in discomfort and trismus, there were no statistically significant differences between them. Conclusion: The findings support submucosal injection of Dexamethasone (4mg) to decrease postoperative edema. Low-dose Dexamethasone injection at the surgical site enhances drug concentration at the injury site without loss owing to diffusion or excretion. The submucosal technique was significantly effective in reduction of postoperative swelling and trismus. Keywords: Dexamethasone; Third molar; Pain; Trismus; Edema. https://jcr.tums.ac.ir/index.php/jcr/article/view/416Dexamethasone; Third molar; Pain; Trismus; Edema. |
| spellingShingle | Goran Lateef Fatah Bayad Jaza Mahmood Faris Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery Journal of Craniomaxillofacial Research Dexamethasone; Third molar; Pain; Trismus; Edema. |
| title | Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery |
| title_full | Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery |
| title_fullStr | Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery |
| title_full_unstemmed | Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery |
| title_short | Preoperative submucosal dexamethasone injection for minimizing postoperative pain, trismus, and oedema associated with impacted mandibular third molar surgery |
| title_sort | preoperative submucosal dexamethasone injection for minimizing postoperative pain trismus and oedema associated with impacted mandibular third molar surgery |
| topic | Dexamethasone; Third molar; Pain; Trismus; Edema. |
| url | https://jcr.tums.ac.ir/index.php/jcr/article/view/416 |
| work_keys_str_mv | AT goranlateeffatah preoperativesubmucosaldexamethasoneinjectionforminimizingpostoperativepaintrismusandoedemaassociatedwithimpactedmandibularthirdmolarsurgery AT bayadjazamahmoodfaris preoperativesubmucosaldexamethasoneinjectionforminimizingpostoperativepaintrismusandoedemaassociatedwithimpactedmandibularthirdmolarsurgery |