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Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention

BACKGROUND: The surgical removal of lower third molar is still the most common surgical procedure that is done in oral and maxillofacial surgery field and creates the predictable post-operative sequelae such as pain, swelling, stiffness and difficulty in mouth opening. The purpose of this study is t...

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Autores principales: Moranon, Pimrampai, Chaiyasamut, Teeranut, Sakdajeyont, Watus, Vorakulpipat, Chakorn, Klongnoi, Boworn, Kiattavornchareon, Sirichai, Wongsirichat, Natthamet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6575125/
https://www.ncbi.nlm.nih.gov/pubmed/31236169
http://dx.doi.org/10.14740/jocmr3844
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author Moranon, Pimrampai
Chaiyasamut, Teeranut
Sakdajeyont, Watus
Vorakulpipat, Chakorn
Klongnoi, Boworn
Kiattavornchareon, Sirichai
Wongsirichat, Natthamet
author_facet Moranon, Pimrampai
Chaiyasamut, Teeranut
Sakdajeyont, Watus
Vorakulpipat, Chakorn
Klongnoi, Boworn
Kiattavornchareon, Sirichai
Wongsirichat, Natthamet
author_sort Moranon, Pimrampai
collection PubMed
description BACKGROUND: The surgical removal of lower third molar is still the most common surgical procedure that is done in oral and maxillofacial surgery field and creates the predictable post-operative sequelae such as pain, swelling, stiffness and difficulty in mouth opening. The purpose of this study is to compare pre-operative dexamethasone injection into pterygomandibular space (PGS) and sublingual space (SLS) in lower third molar intervention of post-operative pain, swelling, and limited mouth opening. METHODS: This study is the split-mouth, randomized crossover clinical trial in 30 healthy patients (mean age 21 years). These patients had similar bilateral lower third molar impactions. The patients were randomly divided into two groups receiving either 8-mg dexamethasone injection into SLS or PGS with the 4-week washout period intervention. Clinical assessment of facial swelling and maximum mouth opening was performed before operation and on day 2 and day 7 after operation. The post-operative pain was also measured by patients’ response on pain visual analogue scale (VAS) on the first, second and third day after intervention. RESULTS: There is no significant difference between PGS group and SLS group in pain and swelling on the second and seventh day after operation. However, PGS group showed a greater degree of limited mouth opening than SLS group on the second day after operation. CONCLUSIONS: This study showed that 8-mg dexamethasone injection into PGS or SLS was not different in reduction of pain, swelling, and limited mouth opening. This result suggests that dexamethasone injection into PGS or SLS is similarly effective.
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spelling pubmed-65751252019-06-24 Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention Moranon, Pimrampai Chaiyasamut, Teeranut Sakdajeyont, Watus Vorakulpipat, Chakorn Klongnoi, Boworn Kiattavornchareon, Sirichai Wongsirichat, Natthamet J Clin Med Res Original Article BACKGROUND: The surgical removal of lower third molar is still the most common surgical procedure that is done in oral and maxillofacial surgery field and creates the predictable post-operative sequelae such as pain, swelling, stiffness and difficulty in mouth opening. The purpose of this study is to compare pre-operative dexamethasone injection into pterygomandibular space (PGS) and sublingual space (SLS) in lower third molar intervention of post-operative pain, swelling, and limited mouth opening. METHODS: This study is the split-mouth, randomized crossover clinical trial in 30 healthy patients (mean age 21 years). These patients had similar bilateral lower third molar impactions. The patients were randomly divided into two groups receiving either 8-mg dexamethasone injection into SLS or PGS with the 4-week washout period intervention. Clinical assessment of facial swelling and maximum mouth opening was performed before operation and on day 2 and day 7 after operation. The post-operative pain was also measured by patients’ response on pain visual analogue scale (VAS) on the first, second and third day after intervention. RESULTS: There is no significant difference between PGS group and SLS group in pain and swelling on the second and seventh day after operation. However, PGS group showed a greater degree of limited mouth opening than SLS group on the second day after operation. CONCLUSIONS: This study showed that 8-mg dexamethasone injection into PGS or SLS was not different in reduction of pain, swelling, and limited mouth opening. This result suggests that dexamethasone injection into PGS or SLS is similarly effective. Elmer Press 2019-07 2019-06-11 /pmc/articles/PMC6575125/ /pubmed/31236169 http://dx.doi.org/10.14740/jocmr3844 Text en Copyright 2019, Moranon et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moranon, Pimrampai
Chaiyasamut, Teeranut
Sakdajeyont, Watus
Vorakulpipat, Chakorn
Klongnoi, Boworn
Kiattavornchareon, Sirichai
Wongsirichat, Natthamet
Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title_full Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title_fullStr Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title_full_unstemmed Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title_short Dexamethasone Injection Into Pterygomandibular Space Versus Sublingual Space on Post-Operative Sequalae of Lower Third Molar Intervention
title_sort dexamethasone injection into pterygomandibular space versus sublingual space on post-operative sequalae of lower third molar intervention
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6575125/
https://www.ncbi.nlm.nih.gov/pubmed/31236169
http://dx.doi.org/10.14740/jocmr3844
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