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Oral and Maxillofacial Surgery

Published in:

01-12-2011 | Original Article

Effect of two routes of administration of dexamethasone on pain, edema, and trismus in impacted lower third molar surgery

Authors: Antonio Azoubel Antunes, Rafael Linard Avelar, Evandro Carneiro Martins Neto, Riedel Frota, Emanuel Dias

Published in: Oral and Maxillofacial Surgery | Issue 4/2011

Abstract

Purpose

The aim of the present study was to compare pain, edema, and trismus in the postoperative period following third molar surgery using 8 mg of dexamethasone administered either orally or through local injection.

Methods

A prospective, controlled, randomized trial was carried out involving 60 lower third molar surgeries in 67 patients between October 2008 and June 2009. The sample was randomly divided into three groups: group A (local injection), group B (tablets), and group C (control). In all cases, either ostectomy or crown sectioning was employed. On the second and seventh day following surgery, linear edema was determined using facial landmarks, and maximal mouth opening measurements were performed. Postoperative pain was recorded using a visual analog scale.

Results

Patient age ranged from 14 to 37 years (mean, 21.0 years). With regard to pain, edema, and trismus, the two administration routes tested (local injection and tablets) demonstrated similar efficacy, and both methods achieved better results in comparison to the control group.

Conclusion

Both the oral administration and local injection of dexamethasone proved effective in reducing pain, edema, and trismus compared to control group following lower third molar surgeries, achieving similar results.

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Title: Effect of two routes of administration of dexamethasone on pain, edema, and trismus in impacted lower third molar surgery
Authors: Antonio Azoubel Antunes
Rafael Linard Avelar
Evandro Carneiro Martins Neto
Riedel Frota
Emanuel Dias
Publication date: 01-12-2011
Publisher: Springer-Verlag
Published in: Oral and Maxillofacial Surgery / Issue 4/2011
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-011-0290-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of two routes of administration of dexamethasone on pain, edema, and trismus in impacted lower third molar surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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