Effect of Dexamethasone Versus Triamcinolone Acetonide On Postoperative Complications After Impacted Third Molar Surgery

Effect of Dexamethasone vs. Triamcinolone Acetonide on Third Molar Surgery

Authors

  • Imam Bux Khalti Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Tarique Hussain Shaikh Department of Oral and Maxillofacial Surgery, Isra University, Hyderabad, Pakistan
  • Aftab Ahmed Kumbhar Department of Oral and Maxillofacial Surgery, Bhitai Dental and Medical College, Mirpurkhas, Pakistan
  • Saadia Siddique Department of Oral and Maxillofacial Surgery, Jinnah Medical and Dental College, Karachi, Pakistan
  • Munir Hussain Zardari Department of Oral and Maxillofacial Surgery, Dow University of Health Sciences, Karachi, Pakistan
  • Seerat-ul-Urooj Bhutto Department of Oral Pathology, Muhammad Dental College Ibne-E- Sina University, Mirpurkhas, Pakistan
  • Kashif Ali Channar Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i08.1982

Keywords:

Impacted Tooth, Dexamethasone, Triamcinolone Acetonide, Wisdom Tooth Surgery

Abstract

In the area of maxillofacial surgery, taking out of impacted teeth, particularly third molars represents a common practice. Corticosteroids play a substantial role in reducing edema and have been found to have anti-inflammatory belongings. Objective: To compare the outcome of Dexamethasone vs. Triamcinolone Acetonide after impacted third molar surgery. Methods: A quasi-experimental study was organized the Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro/Hyderabad. A total of 288 patients with Mesioangular impaction of mandibular 3rd molar tooth were placed into two groups at random. Group-A (Dexamethasone Injection) 4mg was injected instantly into the submucosal at about 1cm above the surgical area and in Group-B (Triamcinolone Acetonide Injection) 4mg was also injected immediately at the same place. Measurements were made on the mouth opening, severity of pain, and swelling. Results: The mean pain score was significantly lower in group B than in group A on the 7th postoperative day (p = 0.0005). Mean facial swelling size was not statistically significant between groups at 2nd day but it was significantly low in group B as compared to group A at 5th and 7th postsurgical days. Mean mouth opening was also significantly higher in group B than in group A at the 5th and 7th postoperative days (p = 0.0005). Conclusions: Submucosal applying corticosteroid medication may be a very painless, effective, cheap, less hazardous, simpler technique for both the patient and the doctor, and its systemic effect is limited.

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Published

2024-08-31
CITATION
DOI: 10.54393/pjhs.v5i08.1982
Published: 2024-08-31

How to Cite

Khalti, I. B., Shaikh, T. H., Kumbhar, A. A., Siddique, S., Zardari, M. H., Bhutto, S.- ul-U., & Channar, K. A. (2024). Effect of Dexamethasone Versus Triamcinolone Acetonide On Postoperative Complications After Impacted Third Molar Surgery: Effect of Dexamethasone vs. Triamcinolone Acetonide on Third Molar Surgery. Pakistan Journal of Health Sciences, 5(08), 98–102. https://doi.org/10.54393/pjhs.v5i08.1982

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