Comparative study of the effect of dexamethasone injection and consumption in lower third molar surgery

被引：37

作者：

Boonsiriseth, K. ^{[1
]}

Klongnoi, B. ^{[1
]}

Sirintawat, N. ^{[1
]}

Saengsirinavin, C. ^{[1
]}

Wongsirichat, N. ^{[1
]}

机构：

[1] Mahidol Univ, Fac Dent, Dept Surg, Bangkok 10400, Thailand

来源：

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2012年 / 41卷 / 02期

关键词：

dexamethasone; intramuscular injection; drug consumption; lower third molar; surgery; facial swelling; VAS; pain rating scale; CONTROLLED-TRIAL; REMOVAL; PAIN;

D O I：

10.1016/j.ijom.2011.12.011

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

The aim of this study was to compare the effect of intramuscular (IM) injection and consumption of 8 mg dexamethasone in patients after lower third molar (LTM) surgery. 20 healthy Thai patients, average age 20 years, with bilateral LTM removal were recruited for this study, a double blinded, paired sample clinical trial. The washout period was 1 month after the first operation. Clinical assessment of facial swelling, pain and maximum mouth opening were measured before and after operation for 7 days. No significant difference was found in facial swelling between IM injection and consumption of 8 mg dexamethasone after LTM surgery (paired t test P > 0.05). The visual analogue scale scores for pain assessment showed no significant difference between IM injection and consumption of dexamethasone (paired t test P > 0.05). The results conclude that IM injection or consumption of dexamethasone after LTM surgery can be used to control facial swelling, pain and trismus.

引用

页码：244 / 247

页数：4

共 17 条

[1] A review of perioperative corticosteroid use in dentoalveolar surgery [J].

Alexander, RE ;

Throndson, RR .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2000, 90 (04) :406-415

[2] Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery [J].

Babatunde Olamide Bamgbose ;

Jelili Adisa Akinwande ;

Wasiu Lanre Adeyemo ;

Akinola Ladipo Ladeinde ;

Godwin Toyin Arotiba ;

Mobolanle Olugbemiga Ogunlewe .

Head & Face Medicine, 1 (1)

[3]

Bodnar J, 2001, Anesth Prog, V48, P130

[4]

Decadron, 2009, ADM MOSBYS MED DICT

[5] THE ANTI-INFLAMMATORY EFFECTS OF DEXAMETHASONE AND THERAPEUTIC ULTRASOUND IN ORAL-SURGERY [J].

ELHAG, M ;

COGHLAN, K ;

CHRISTMAS, P ;

HARVEY, W ;

HARRIS, M .

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 1985, 23 (01) :17-23

[6] Perioperative dexamethasone reduces post-surgical sequelae of wisdom tooth removal. A split-mouth randomized double-masked clinical trial [J].

Graziani, F ;

D'Aiuto, F ;

Arduino, PG ;

Tonelli, M ;

Gabriele, M .

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2006, 35 (03) :241-246

[7] Effect of submucosal injection of dexamethasone on postoperative discomfort after third molar surgery: A prospective study [J].

Grossi, Giovanni Battista ;

Maiorana, Carlo ;

Garramone, Rocco Alberto ;

Borgonovo, Andrea ;

Beretta, Mario ;

Farronato, Davide ;

Santoro, Franco .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2007, 65 (11) :2218-2226

[8]

Laureano JR, 2008, MED ORAL PATOL ORAL, V13, pE129

[9] Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: a clinical trial [J].

Markovic, A. ;

Todorovic, Lj. .

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2007, 36 (03) :226-229

[10]

MESSER EJ, 1975, ORAL SURG ORAL MED O, V40, P594, DOI 10.1016/0030-4220(75)90369-2

← 1 2 →