COMPARISON OF THERAPEUTIC EFFECTS OF 8 MG DEXAMETHASONE INTRAMUSCULAR ADMINISTERED PRE-OPERATIVELY VS. POST OPERATIVELY AFTER THE SURGICAL EXTRACTION OF IMPACTED MANDIBULAR THIRD MOLARS
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Keywords
Dexamethasone, Impacted, Molar
Abstract
Background: Third molar eruption and continuous positional changes after eruption can be related not only with race but also with nature of the diet, the intensity of the use of the masticatory apparatus and possibly due to genetic background. Hence, the present study was undertaken for comparing the Therapeutic Effects of 8 mg Dexamethasone Intramuscular Administered Pre-operatively vs. Post Operatively after the Surgical Extraction of Impacted Mandibular Third Molars.
Materials & methods: This study was conducted on 50 subjects reporting to the OPD at Dental Max Care (Private Dental Clinic). Cases were taken at random to be allocated in any of the following groups: Group A: Administration of Pre-operatively Intramuscular 8 mg Dexamethasone. Group B: Administration of Post-operatively Intramuscular 8 mg Dexamethasone. The patients were given the routine post-operative home care instruction. Antibiotic coverage was given: capsule amoxicillin 500mg orally 3 times daily for 3 days. The sutures will be removed at 7th day follow up. Patients were assessed postoperatively and data were analysed.
Results: Mean swelling was significantly higher among patients of group B at postoperative 1st day and at postoperative 3rd day. However; at postoperative 7th day, no significant difference was observed in terms of swelling in between both the study groups.
Conclusion: Superior post-operative therapeutic effects are achieved by pre-operative administration of 8 mg intramuscular injection of dexamethasone as compared to post-surgical administration in impacted third molar surgeries.
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Rahul Munka
MDS (Orthodontics), Private practitioner at Dental Max care
Vaibhav Shandilya
Medical Officer, Primary Health Centre, Fatuha, Bihar