Journal of Craniomaxillofacial Research 2015. 2(1-2):91-94.

The effect of the submucosal injection of dexamethasone on postoperative discomfort after impacted mandibular third molar surgery
Farnoosh Mohammadi, Mahboube Hasheminasab, Asadollah Asgarian, Alireza Zahedanaraki

Abstract


Introduction: Our study was designed to assess the effect of the submucosal injection of dexamethasone on postoperative discomfort after surgical removal of impacted mandibular third molars.

Materials and methods: Twenty six patients with bilaterally bony impacted mandibular third molars were recruited to this split mouth study. On the study side, prior to surgery, 8 mg of dexamethasone was injected in buccal vestibule submucosally, while the control side received no steroid. Complications such as swelling, trismus and infection were evaluated postoperatively.

Results: The results showed that the patients experienced significantly less swelling  (p=  0.001)  on  study  side  on  the  3rd   and  7th   postoperative  days compared to the control side. The amount of trismus was significantly less (p=0.001) after submucosal injection of dexamethasone on both time intervals.

Conclusion: Perioperative submucosal injection of dexamethasone can significantly reduce postoperative swelling and trismus after surgical removal of the impacted teeth.


Keywords


Third molar; Swelling; Trismus; Dexamethasone

Full Text:

PDF

References


Thomas D, Walker R, Smith A, Shepherd J. The provision of oral surgery services in England and Wales 1984-1991. British Dental Journal 1994;176: 215 – 219.

Blondeau, F. and Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc, 2007. 73(4): p. 325.

Kim K, Brar P, akubowski J, Kaltman S, Lopez E.The use of corticosteroids and nonsteroidal anti-inflammatory medication for the management of pain and inflammation after third molar surgery: a review of the literature. Oral Surg Oral Med Oral Pathol Oral RadiolEndod.2009 ;107:630-40.

Lara-de la Fuente R. Steroid infiltrations inorthopedics.ActaOrtop Mex. 2011;25:12-6.

Graziani F, D'Aiuto F, Arduino PG, Tonelli M, Gabriele M. Perioperative dexamethasone reduces post-surgical sequelae of wisdom tooth removal. A split-mouth randomized double- masked clinical trial. Int J Oral Maxillofac Surg.2006;35:241-6.

Neff SP, Stapelberg F, Warmington A.Excruciating perineal pain after intravenous dexamethasone. Anaesth Intensive Care. 2002;30:370-1.

Gunal I, Karatosun V. Avascular necrosis of the femoral heads after single corticosteroid injection. CMAJ 2006;175:31.

Holland CS. The influence of methylprednisolone on post-operative swelling following oral surgery. Brit J Oral and Maxillofac Surg 1987;25: 293-299.

Tiigimae-Saar J, Leibur E, Tamme T. The effect of prednisolone on reduction of complaints after impacted third molar removal Stomatologia.2010;12:17-22.

Markiewicz MR, Brady MF, Ding EL, Dodson TB. Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2008;66:1881-94.

Dodson TB. Corticosteroid administration in oral and orthognathic surgery. Evid Based Dent.2011; 12:49-50.

Grossi GB, Maiorana C, Garramone RA, Borgonovo A, Beretta M, Farronato D, Santoro F. Effect of submucosal injection of dexamethasone on postoperative discomfort after third molar surgery: a prospective study. J Oral Maxillofac Surg. 2007 Nov; 65(11):2218-26.

Majid OW, Mahmood WK.. Effect of submucosal and intramuscular dexamethasone on postoperative sequelae after third molar surgery: comparative study. Br J Oral Maxillofac Surg,2011. 49(8): p. 647-52.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.