Use of preoperative submucosal dexamethasone in third molar surgery: a step towards improvement in quality of life | [Journal of Ayub Medical College • 2020]

Author(s):

1. Samia Shad: Dental Section, Abbottabad International Medical College,Abbottabad, Pakistan

2. Akif Mahmud: Dental Section, Women Medical College,Abbottabad, Pakistan

3. Adil Shahnawaz: Dental Section, Abbottabad International Medical College,Abbottabad, Pakistan

4. Syed Majid Hussain Shah: Dental Section, Ayub Medical College,Abbottabad, Pakistan

5. Amber Farooq: Dental Section, Abbottabad International Medical College,Abbottabad, Pakistan

6. Saqib Mehmood Khan: Dental Section, Abbottabad International Medical College,Abbottabad, Pakistan

7. Rabia Rahat Gillani: Foundation University College of Dentistry, Islamabad-Pakistan

Abstract:

Background: Surgical removal of impacted mandibular third molar is one of the most common procedures performed by Oral surgeons globally. The objective of the study was to ascertain the efficacy of pre-operative administration of submucosal dexamethasone on post-operative sequelae in surgically extracted impacted mandibular third molar. It was a double-blind randomized controlled clinical trial that was performed in the Department of Oral & Maxillofacial Surgery at Abbottabad International Dental Hospital, Abbottabad from March 2019 to March 2020. Methods: A total of 150 patients were divided into two groups, each having 75 patients. Group A received a placebo after administration of local anesthesia whereas, group B received 4mg submucosal dexamethasone. A postoperative visit was scheduled after 48 hours to evaluate pain, facial swelling, and Trismus. Results: On the second postoperative day, the patients in the experimental group presented with significantly reduced pain, facial swelling, and trismus in comparison to the control group. Conclusion: Preoperative administration of 4mg dexamethasone through the submucosal route is efficacious in the reduction of post-operative pain, swelling, and trismus in mandibular third molar surgery thus enabling the patient to return to daily life activities earlier.

Page(s): 607-611

DOI: DOI not available

Published: Journal: Journal of Ayub Medical College, Volume: 32, Issue: S1, Year: 2020

Keywords:

Quality of life , Dexamethasone , Trismus , Third molar surgery , Swelling

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