Effect of pericoronal local injection of dexamethasone to prevent postoperative complication in the third molar impaction surgery

doi:10.3877/cma.j.issn.1674-1366.2015.06.008

Abstract

Abstract:

Objective

To assess the efficacy of dexamethasone (DM) pericoronal injection preoperative or postoperative for the control of swelling, pain and trismus caused by impacted mandibular third molars extraction.

Methods

Totally 240 consecutive patients requiring surgical removal of mandibular third molar were divided into three groups according to extraction of the impacted molars. Each of the three groups was split into experimental group (Dexamethasone pericoronal injection preoperative and postoperative) and control group (Non-pericoronal injection of Dexamethasone) , respectively. Swelling, pain and trismus were assessed by following-up evaluation at 1st, 3rd and 7th postoperative days.

Results

The statistics analysis showed similar result in the severity of swelling, pain and trismus at the experimental group and control group on 1st and 7th postoperative day. It was noticed that the experimental group promoted a better prognosis of swelling, pain and trismus. There was no difference between the groups of DM pericoronal injection preoperative and DM pericoronal injection postoperative on these parameters.

Conclusion

It appeared that DM pericoronal injection preoperative or postoperative would control swelling, pain and trismus following impacted mandibular third molar extraction.

Key words: Molar, third, mandibular, Dexamethasone, Pericoronal local injection, Tooth extraction, Postoperative complication

Biao Hu, Yuan Zhou, Xingguang Liu, Qian Tao. Effect of pericoronal local injection of dexamethasone to prevent postoperative complication in the third molar impaction surgery[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 09(06): 478-483.

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Figures/Tables 5

References 15

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组别	例数	年龄（岁， ± s）	性别（例）		拔牙时间（min， ± s）
组别	例数	年龄（岁， ± s）	男	女	拔牙时间（min， ± s）
Aa组	30	26.77 ± 6.78	16	14	12.67 ± 4.50
Ab组	30	27.23 ± 5.48	17	13	12.13 ± 4.43
Ac组	30	25.73 ± 4.70	17	13	12.63 ± 3.86
Ba组	30	26.97 ± 4.84	16	14	19.80 ± 4.60
Bb组	30	25.87 ± 5.50	16	14	20.20 ± 4.69
Bc组	30	27.63 ± 5.42	18	12	19.77 ± 4.52
Ca组	20	26.45 ± 3.82	10	10	22.05 ± 4.56
Cb组	20	27.05 ± 5.10	11	9	21.30 ± 4.35
Cc组	20	28.10 ± 5.21	10	10	22.55 ± 5.02

组别	例数	年龄（岁， ± s）	性别（例）		拔牙时间（min， ± s）
组别	例数	年龄（岁， ± s）	男	女	拔牙时间（min， ± s）
Aa组	30	26.77 ± 6.78	16	14	12.67 ± 4.50
Ab组	30	27.23 ± 5.48	17	13	12.13 ± 4.43
Ac组	30	25.73 ± 4.70	17	13	12.63 ± 3.86
Ba组	30	26.97 ± 4.84	16	14	19.80 ± 4.60
Bb组	30	25.87 ± 5.50	16	14	20.20 ± 4.69
Bc组	30	27.63 ± 5.42	18	12	19.77 ± 4.52
Ca组	20	26.45 ± 3.82	10	10	22.05 ± 4.56
Cb组	20	27.05 ± 5.10	11	9	21.30 ± 4.35
Cc组	20	28.10 ± 5.21	10	10	22.55 ± 5.02

组别	例数	术后第1天	术后第3天	术后第7天
Aa组	30	1.58 ± 0.59	2.50 ± 1.22	0.75 ± 0.81
Ab组	30	1.64 ± 0.60	2.38 ± 1.07	0.78 ± 0.70
Ac组	30	1.92 ± 0.77	2.99 ± 0.96	0.97 ± 0.85
Ba组	30	1.92 ± 0.59	2.62 ± 0.63	0.87 ± 0.69
Bb组	30	2.02 ± 0.59	2.67 ± 0.78	0.86 ± 0.69
Bc组	30	2.19 ± 0.45	3.08 ± 0.63	0.90 ± 0.78
Ca组	20	1.94 ± 0.49	2.74 ± 0.78	0.79 ± 0.58
Cb组	20	1.96 ± 0.51	2.67 ± 0.77	0.70 ± 0.50
Cc组	20	2.09 ± 0.46	3.22 ± 0.64	0.71 ± 0.41

组别	例数	术后第1天	术后第3天	术后第7天
Aa组	30	1.58 ± 0.59	2.50 ± 1.22	0.75 ± 0.81
Ab组	30	1.64 ± 0.60	2.38 ± 1.07	0.78 ± 0.70
Ac组	30	1.92 ± 0.77	2.99 ± 0.96	0.97 ± 0.85
Ba组	30	1.92 ± 0.59	2.62 ± 0.63	0.87 ± 0.69
Bb组	30	2.02 ± 0.59	2.67 ± 0.78	0.86 ± 0.69
Bc组	30	2.19 ± 0.45	3.08 ± 0.63	0.90 ± 0.78
Ca组	20	1.94 ± 0.49	2.74 ± 0.78	0.79 ± 0.58
Cb组	20	1.96 ± 0.51	2.67 ± 0.77	0.70 ± 0.50
Cc组	20	2.09 ± 0.46	3.22 ± 0.64	0.71 ± 0.41

组别	例数	术后第1天	术后第3天	术后第7天
Aa组	30	63.3	86.7	90.0
Ab组	30	60.0	86.7	90.0
Ac组	30	50.0	80.0	93.3
Ba组	30	43.3	66.7	90.0
Bb组	30	46.7	63.3	83.3
Bc组	30	36.7	60.0	83.3
Ca组	20	75.0	70.0	90.0
Cb组	20	40.0	55.0	75.0
Cc组	20	70.0	40.0	70.0

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