Role of Corticosteroids in Reducing Postoperative Morbidity Following Removal of Impacted Wisdom Teeth: A Comparative Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: The surgical removal of impacted third molar teeth can result in considerable pain, swelling and trismus. Pain and swelling can be reduced via the glucocorticoids and with no nsteroidal anti inflammatory drugs. . Quantifying the effectiveness of steroids has varied greatly among studies. Objectives: To investigate the role of prophylactic preoperative steroids in reducing post operative morbidity in patients undergoing surgical removal of the wisdom tooth. Methodology: Comparative study has been conducted with two different drug interventions and modalities on patients indicated for surgical removal of impacted third molar teeth. First Group patients received pre-operative Dexamethasone injection 1hour prior to the surgery and administered with analgesics and Metronidazole for 3 days. Second Group patients received only therapeutic oral medication posts operatively analgesic and Metronidazole for 3 days. Results: Group I consisted of 30 patients, in which 76.7% were males and 23.3% were females and Group II was also consisted of 30 patients, in which 63.3% were males and 36.7%were females . The increase facial in swelling in Group II patients was statistically and clinically significant (P<0.05). The difference in the levels of pain between the 2 groups at 24 hours and on 7th post-operative day showed no statistical significance. The difference in MBW between 2 groups at all the intervals was statistically and clinically significant (P<0.001). Conclusions: The use of single preoperative corticosteroid dosage appears to be useful in reducing postoperative edema and trismus following the removal of impacted third molars. A high dosing intramuscularly, shown significant and sustained anti-inflammatory effects with a single dose administrated preoperatively.
Authors and Affiliations
Namineni Kiran Kumar, T. Murali Krishna, Ch. Hima Silpa
Keywords
Related Articles
- EP ID EP598009
- DOI 10.9790/0853-1605090105.
- Views 85
- Downloads 0
Clinical And Radiological Evaluation of Fully Hydroxyapatite Coated Uncemented Stems in Hip Arthroplasty
To assess the functional and radiological outcome of fully hydroxyapatite coated stems in hip arthroplasty. Prospective and retrospective study. Follow up 6wks,3mths,6mths,1year & then yearly. Minimum follow up of 6 mont...
Effect of Botulinum Toxin Type A (Botox) For Neuromuscular Correction of Excessive Gingival Display on Smiling
The display of excessive gingival tissue in the maxilla upon smiling has been called as“gummy smile”. The etiology of gummy smile may be skeletal, gingival, muscular iatrogenic. Many surgical procedures have been describ...
Skin Cancer Varieties, A 10 Year Review of Cases In Al-Baha Area .
Introduction: Skin cancer represents a major health problem worldwide. In the kingdom of Saudi Arabia, skin cancer is considered to be the 9 th most common malignancy in both sexes. Objectives: This study aims to determi...
Fibrous Dysplasia- A review Article
Objective: To collected and concluded a literature review on the diagnosis and management of facial fibrous dysplasia in head and neck region. Materials And Methods: The review was searched and collected from many source...
Temperature Changes in Cortical Bone during Intraosseous Anesthesia with Anesto And Quicksleeper
Aims: To investigate the temperature changes in the cortical bone during intraosseous anesthesia with Quicksleeper and Anesto. Materials and Methods: 12 swine fresh jaws were used for each of the examined intraosseous sy...