Comparison of the Effectiveness of Dexamethasone Injection into Two Different Sites in Preventing the Postoperative Complications after Mandibular Third Molar Surgery: A Randomized Clinical Trial
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 10
Abstract
Aims: Inflammation occurring after the surgical removal of impacted lower third molars can cause complications such as pain and swelling. The aim of this study was to compare the effectiveness of dexamethasone injection into the medial pterygoid and gluteal muscles in preventing postoperative complications after surgical removal of bony impacted mandibular third molars. Study Design: Parallel randomized clinical trial. Place and Duration of Study: Oral Surgery Department of the Torabinejad Dental Research Center, between April 2013 and January 2014. Methodology: This trial included 77 participants aged between 18 and 35 years [mean age (mean ± standard deviation), 25.04±4.33 years] requiring surgical removal of a single bony impacted mandibular third molar under local anesthesia. Participants were randomly assigned to 3 groups based on systematic random. Postoperative pain, swelling, patients’ general satisfaction, and changes in daily life function were evaluated. These factors were first analyzed by the Kruskal–Wallis and ANOVA tests, followed by the Mann–Whitney test. Results: The two dexamethasone groups had significantly less postoperative pain, swelling, and change in appearance at 48 h after the surgery compared with the DF group. Conclusion: With the caution of a small sample size, the results of this study indicate that near the surgical field preoperative injection of dexamethasone in the medial pterygoid muscle can control postoperative pain, swelling, and changes in appearance as efficiently as the same in the gluteus muscle.
Authors and Affiliations
Mohammadjavad Shirani, Mahya Hasanzade, Amirhosein Moadabi, Bijan Movahedian Attar
The Value of Therapeutic Drug Monitoring of Vancomycin in Treatment in a Tertiary Hospital, Cho Ray Hospital, Viet Nam
Aims: To evaluate the value of therapeutic drug monitoring (TDM) of vancomycin in clinical practice. Methods: To review retrospectively on 292 hospital cases (111 females, 181 males) treated with vancomycin, July to Octo...
Overview of Blunt Chest Injury with Multiple Rib Fractures
Introduction: Thoracic trauma leading to multiple fractured ribs (MFR) remains common. The significant chest pain of multiple rib fractures can be difficult to manage and can lead to decreased pulmonary function, increas...
Analysis of Work-related Injuries among Health Care Workers in Armed Forces Hospital Southern Region, Kingdom of Saudi Arabia
Introduction: Safety of healthcare workers (HCWs) is essential for patients safety. Despite of this fact, HCWs are at high risk of work-related injuries (WRI). Those injuries include falls, musculoskeletal disorders, ne...
Anomalous Orıgın of the Left Pulmonary Artery from the Ascendıng Aorta wıth Pulmonary Atresıa ın a 13 Year-old Girl
Aim: We reported a rare case of an anomalous origin of the left pulmonary artery (AOLPA) from the ascending aorta associated with pulmonary atresia and right sided aortic arch diagnosed at a relatively late age. Case: 13...
Use of Homeostatic Model Assessment Indexes for the Identification of Metabolic Syndrome and Insulin Resistance among Cuban-Americans: A Cross Sectional Study
Aim: to determine cut off points for The Homeostatic Model Assessment Index 1 and 2 (HOMA-1 and HOMA-2) for identifying insulin resistance and metabolic syndrome among a Cuban-American population. Study Design: Cross sec...