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ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 2  |  Page : 35-38

Postoperative evaluation, after surgical removal of mandibular third molar, with and without local administration of injection dexamethasone 8 mg: A comparative study


1 Registrar, Department of Oral and Maxillofacial Surgery, Ministry of Health, Al-Amiri Dental Center, Kuwait
2 Senior Practitioner, Department of Oral and Maxillofacial Surgery, Ministry of Health, Al-Amiri Dental Center, Kuwait
3 Registrar, Department of Periodontology and Implantology, Ministry of Health, Al-Jahra Specialty Dental Center, Kuwait
4 Reader, Department of Periodontology and Implantology, Pushpagiri College of Dental Science, Thiruvalla, Kerala, India
5 Senior Lecturer, Department of Periodontology and Implantology, St Gregorios Dental College, Chelad, Kerala, India

Correspondence Address:
Dr. Nithin Mathew Cherian
Al-Amiri Dental Center, Ministry of Health, Kuwait City
Kuwait
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INPC.INPC_30_19

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Aim: The aim of the study is to evaluate the relative ability of 8 mg dose of intraoperative dexamethasone, to reduce the postoperative discomfort after third molar surgery. Materials and Methods: A total of sixty patients required surgical removal of a single mandibular third molar. Two operators concluded the study on sixty patients with an impacted third molar, with each operator having thirty patients, of which 15 were administered injection dexamethasone 8 mg at the site of surgery 30 min prior to the surgical removal of the impacted tooth. The maximum interincisal distance and facial contours were measured at baseline and at postsurgery days 1 and 7 to check edema. Results: None of the patients developed wound infection or any serious postoperative complications. It was observed that the patients with intravenous steroids had very minimal postoperative swelling (within Grade 1) compared to the Sample B (Grades 2 and 3), but the bleeding and postoperative pain after 24 h were slightly more compared to the Sample B, wound healing was much delayed and suture removal on the 12th day. Conclusion: Dexamethasone (8 mg) is effective in reducing postoperative discomfort after third molar surgeries.


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