ADMINISTRATION OF PREOPERATIVE SUBMUCOSAL DEXAMETHASONE IN THIRD MOLAR SURGERY: A PROGRESSION TOWARDS ENHANCING QUALITY OF LIFE.
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Keywords
Dexamethasone; Third Molar Surgery; Swelling; Trismus; Quality of Life.
Abstract
Objective: To determine the efficacy of pre-operative submucosal administration of dexamethasone in surgery of impacted third molar (M3) teeth.
Methodology: Prospective comparative study was conducted at Dental Teaching hospital, from April 2024 to October 2024. A total 130 patients were enrolled in study and divided into two groups by simple randomization method. Group A was control group injected placebo and group B was case group injected 4mg dexamethasone immediately after induction of anesthesia through submucosal route. Efficacy was measured in terms of reduction in trismus, pain and inflammation in post-operative time. SPSS version 26 was used for data entry and analysis of variables.
Results: The mean pain score in Group A was 28.74 ± 5.21 compared with 22.56 ± 4.02 in Group B (p < 0.001). Mean swelling was 5.01 ± 1.35 mm in Group A and 3.42 ± 0.88 mm in Group B (p < 0.001). Mean trismus measured 24.89 ± 4.10 mm in Group A and 19.78 ± 2.91 mm in Group B, with Group B showing significantly less trismus (p < 0.001
Conclusion: Administering 4mg of dexamethasone through the submucosal route prior to mandibular third molar surgery can effectively reduce post-operative pain, swelling, and trismus.
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Raham Zaman
Associate Professor Science of Dental Materials, Bacha Khan Dental College Mardan, Pakistan
Nazish
Dental Surgeon Bolan Medical Complex Hospital Quetta, FCPS (PGT) Oral and Maxillofacial Surgery, Armed Force Institute of Dentistry, Rawalpindi, Pakistan
Saif Ullah
Assistant Professor, Oral and Maxillofacial Surgery Department, Mardan Medical Complex, Mardan, Pakistan.
Zubair Nasir
Assistant Professor Community Dentistry, Shifa College of Dentistry, Islamabad, Pakistan
Akif Mahmud
Assistant Professor, Department of Oral & Maxillofacial Surgery, Women Dental College, Abbottabad, Pakistan
Tehmina Naushin
Associate Professor Oral Pathology, Peshawar Dental College, Riphah International University, Islamabad, Peshawar campus, Pakistan