EFFICACY OF DEXAMETHASONE IN LINGUAL NERVE PARESTHESIA FOLLOWING THIRD MOLAR SURGERY-A RANDOMISED CONTROLLED TRIAL
Main Article Content
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.
References
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