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
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- EP ID EP598009
- DOI 10.9790/0853-1605090105.
- Views 94
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