Publication: Effect of single dose preoperative intramuscular dexamethasone injection on lower impacted third molar surgery
1
Issued Date
2012-03-01
Resource Type
ISSN
13990020
09015027
09015027
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2-s2.0-84858150511
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Oral and Maxillofacial Surgery. Vol.41, No.3 (2012), 376-379
Suggested Citation
Boworn Klongnoi, Pariya Kaewpradub, Kiatanant Boonsiriseth, Natthamet Wongsirichat Effect of single dose preoperative intramuscular dexamethasone injection on lower impacted third molar surgery. International Journal of Oral and Maxillofacial Surgery. Vol.41, No.3 (2012), 376-379. doi:10.1016/j.ijom.2011.12.014 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/14085
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Title
Effect of single dose preoperative intramuscular dexamethasone injection on lower impacted third molar surgery
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Abstract
This study aimed to investigate the effects of dexamethasone intramuscular injection 1 h preoperatively, in reducing facial swelling, pain and trismus after lower impacted third molar (LITM) surgery. Twenty healthy Thai patients with both LITM surgical extraction were enrolled in the study. The washout period was 1 month after the first operation. Clinical assessment of the facial swelling, pain and trismus were measured before and after operation for 7 days and the patient's total analgesic consumption was recorded. The level of significance used in the statistical decisions was P < 0.05. Preoperative intramuscular injection of single-dose 8 mg dexamethasone reduced postoperative swelling after LITM surgical extraction significantly on the second postoperative day, but immediately after surgery and on day 7 after the surgical extraction, no significant difference was found between the dexamethasone and control groups. Dexamethasone also reduced postoperative pain after LITM surgical extraction significantly on postoperative days 2 and 7. Additionally, the amount of paracetamol decreased significantly. There were no significant differences in trismus in the study and control groups 7 days after LITM operation. Single-dose intramuscular injection of dexamethasone can reduce postoperative facial swelling and pain, without affecting trismus after LITM surgical extraction. © 2011 International Association of Oral and Maxillofacial Surgeons.