Comparison of Intramuscular and Submucosal Dexamethasone on Postoperative Sequale Following Third Molar Surgery
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Transalveolar extraction of mandibular third molar is a cumbersome and dreaded procedure. Most of the patients are in awe for surgical extraction. It brings great discomfort to the patients and interferes with their daily chores because of postoperative pain, swelling and trismus. In this prospective randomised study, we evaluate the effect of 4mg dexamethasone given by either sub mucosal or intramuscular route on pain, swelling and trismus after third molar surgery Material and Methods: A total of 44 patients were enrolled in this prospective study which were divided in two groups – Group A who received 4mg of submucosal dexamethasone and Group B who received 4 mg of intramuscular dexamethasone during the extraction of third molars. Swelling, trismus and VAS scores were measured in both the groups on 3rd and 7th postoperative days. SPSS software was used for analysis and Chi square test was applied. Result: There was no significant difference in the demographic data and duration of surgery between the groups. Swelling was more marked on 3rd postoperative day which slowly reduced but there was no significant difference in swelling between the groups. Trismus index was also comparable between the groups, showing no significant difference. Conclusion: Intramuscular or submucosal injection of dexamethasone produced comparable results when used intraoperatively during third molar surgery.
Authors and Affiliations
Navneet Singh, Lokender Singh Raghav, Gagandeep Kaur, Jasleen Kaur
Keywords
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