EFFICACY OF DEXAMETHASONE IN LINGUAL NERVE PARESTHESIA FOLLOWING THIRD MOLAR SURGERY-A RANDOMISED CONTROLLED TRIAL

Main Article Content

Dr. Raparthy Bhuvana chandra,Dr. Kathiravan Selvarasu,Dr. Vivek D Menon,Dr. Murugesan K,Dr Soorumsetty Ruthvik

Keywords

paresthesia, steroids, inflammation, wisdom tooth removal

Abstract

Introduction : Lingual nerve paresthesia or anaesthesia subsequent to wisdom tooth removal affects a minor number of patients sometimes producing permanent damage. Dexamethasone has an anti-inflammatory action against neuroinflammation.


Materials and Methods : In the present study, 12 patients with lingual nerve paresthesia  were divided into 2 groups (with dexamethasone and without dexamethasone). Post operatively at 3 months, the bone defects were assessed for the extent of the repair. Descriptive data was expressed in percentages. Independent t tests and paired t tests were used to assess the association between difference between between groups and within groups respectively and significance was kept at  p<0.05.


Results : out of 6 patients who received inj dexamethasone , 5 patients showed decrease in paresthesia in 3 months. In 6 patients who did not receive dexamethasone 4 patients showed decrease in paresthesia. Paired t tests were performed to analyse the pre and post bone defects of group I and group II respectively. In both group I and group II, significant changes were seen in the bone defects.


Conclusion : From our study we conclude that its dexamethasone does not significantly alter the paresthesia.

Abstract 113 | pdf Downloads 146

References

1. Fung BK, Chan MY. Incidence of oral tissue trauma after the administration of general anaesthesia. Acta Anaesthesiol Sin. 2001;39:163–167.

2. Gaut A, Williams M. Lingual nerve injury during suspension microlaryngoscopy. Arch Otolaryngol Head Neck Surg. 2000;126:669–671.

3. Alling CC., 3rd Dysesthesia of the lingual and inferior alveolar nerves following third molar surgery. J Oral Maxillofac Surg. 1986;44:454–457.

4. McGeachie JK. Anatomy of the lingual nerve in relation to possible damage during clinical procedures. Ann R Australas Coll Dent Surg. 2002;16:109–110.

5. Silva DA, Colingo KA, Miller R. Lingual nerve injury following laryngoscopy. Anesthesiology. 1992;76:650–651.

6. Kim KJ, Park JW, Baek CW, Jung YH, Koo GH. Hypoglossal nerve palsy following general anesthesia: a case report. Korean J Anesthesiol. 2005;49:702–704.

7. Hwang BS, Hwang BM. Tongue Numbness following Endotracheal General Anesthesia: a case report. Korean J Anesthesiol. 2008;54:350–352.

8. Majumder S, Hopkins PM. Bilateral lingual nerve injury following the use of the laryngeal mask airway. Anaesthesia. 1998;53:184–186.

9. Lang MS, Waite PD. Bilateral lingual nerve injury after laryngoscopy for intubation. J Oral Maxillofac Surg. 2001;59:1497–1499.

11. Gozali P, Boonsiriseth K, Kiattavornchareon S, Khanijou M, Wongsirichat NJ. Decreased post-operative pain using a sublingual injection of dexamethasone (8 mg) in lower third molar surgery. J Dent Anesth Pain Med. 2017;17:47–53. [PMC free article]

12. Sun H, Yang T, Li Q. Dexamethasone and vitamin B12 synergistically promote peripheral nerve regeneration in rats by upregulating the expression of brain-derived neurotrophic factor. Arch Med Sci. 2012;8:924–930.

13. Kim HJ, Ahn HS, Lee JY, Choi SS, Cheong YS, Kwon K. Effects of applying nerve blocks to prevent postherpetic neuralgia in patients with acute herpes zoster: a systematic review and meta-analysis. Korean J Pain. 2017;30:3–17.

14. Kadry MA, Popat MT. Lingual nerve injury after use of a cuffed oropharyngeal airway. Eur J Anaesthesiol. 2001;18:264–266.

15. Teichner RL. Lingual nerve injury: a complication of orotracheal intubation. Case report. Br J Anaesth. 1971;43:413–414.

16. Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study, 10.1111/cid.12609, Clin. Implant Dent. Relat. Res.

17. Assessing the variation in course and position of inferior alveolar nerve among south Indian population: A cone beam computed tomographic study, Indian Journal of Dental Research, 10.4103/ijdr.IJDR_418_17

18. Comparative evaluation of the efficacy of intraligamentary and supraperiosteal injections in the extraction of maxillary teeth: A randomized controlled clinical trial, 10.5005/JP-JOURNALS-10024-2391

19. Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study, 10.1016/j.joms.2017.12.020

20. Platelet-Rich Fibrin Used in Regenerative Endodontics and Dentistry: Current Uses, Limitations, and Future Recommendations for Application, 10.1155/2021/4514598

21. Comparative antimicrobial efficacy of oregano oil, chlorhexidine, and sodium hypochlorite against Enterococcus faecalis: An in vitro study, 10.4103/endo.endo_124_20

22. Antioxidant, anti-inflammatory activity of Thymus vulgaris-mediated selenium nanoparticles: An in vitro study, 10.4103/JCD.JCD_369_21

23. CBCT comparison of buccal shelf bone thickness in adult Dravidian population at various sites, depths and angulation – A retrospective study, 10.1016/j.ortho.2021.06.001

24. Evaluation of effect of submucosal administration of depomedrol in management of postoperative sequelae in mandibular fractures: A randomized clinical trial study, 10.4103/njms.NJMS_118_20

25. Comparison of effect of intra socket ketamine and tramadol on postoperative pain after mandibular third molar surgery, 10.4103/njms.NJMS_141_20

26. Twin Mixed Local Anesthesia in Third Molar Surgery - Randomized Controlled Trial, 10.1016/j.joms.2021.07.013