Effects of co-administered dexamethasone and nimesulide on pain, swelling, and trismus following third molar surgery: a randomized, triple-blind, controlled clinical trial

Barbalho, Jimmy Charles Melo; Vasconcellos, Ricardo José Holanda; Morais, Hécio Henrique Araújo de; Santos, Larissa Aline; Almeida, Renata de Albuquerque Cavalcanti; Rebelo, Hélder Lima; Lucena, Eudes Euler S.; Araújo, Sebastião

doi:10.1016/j.ijom.2016.10.011

Cited by 45 publications

(50 citation statements)

References 30 publications

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“…(24) The SG showed a lower mean facial swelling at the 2 nd day as reported by Filho et al (25) The mean of VAS pain scores was lower in the SG at postoperative evaluation that lead to less consumption of amount of analgesics in agreement with multiple studies. (23,26) The key findings of this study are that injection of a single dose of 8 mg Dx into the Pm is a convenient method with high successful rate and low cost. Also, Dx provided a shortened period of discomfort, when compared to placebo.…”

Section: Discussionmentioning

confidence: 94%

Evaluation of Dexamethasone Injection into the Pterygomandibular Space in Impacted Lower Third Molar Surgery

Dakroury

Elfekey

Hussien

2019

Al-Azhar Assiut Dental Journal

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Aim: It was to evaluate the efficacy of dexamethasone (Dx) of a single dose of 8 mg dexamethasone injected pre-operatively into the pterygomandibular space in reducing post-operative pain, swelling, and limited mouth opening following lower third molar surgery. Subjects and Methods: A prospective, randomized, split mouth study involving 62 surgical extractions of lower third molars in 31 patients. range (20-35 years) with similar bilaterally impacted lower third molars. Sites from the study group (SG) received single dose of 2ml of 4mg Dx preoperatively, while those in the control group (CG) received a placebo (the same volume of sterile saline solution). Previous history of significant medical condition, drug allergy, or infection that may contraindicates the use of Dx was excluded. Results: Significant reduction in swelling, pain and total postoperative analgesic consumption was observed in SG than CG on the 2nd day. Also, there were differences between both groups regarding to the interincisal distance (IID) measurements on the 7th day. Conclusion: Both groups showed acceptable results, however, Dx injection seems to be the appropriate treatment for rapid recovery of range of IID, reduction of swelling, and relief of pain following impacted lower 3 rd molar extraction.

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Section: Discussionmentioning

confidence: 94%

Evaluation of Dexamethasone Injection into the Pterygomandibular Space in Impacted Lower Third Molar Surgery

Dakroury

Elfekey

Hussien

2019

Al-Azhar Assiut Dental Journal

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“…[17][18][19][20][21] Birçok çalıĢmada farklı hasta gruplarında mandibular gömülü 3.molar çekim sonrası oluĢan komplikasyonlar değerlendirilmiĢtir. 22,23 Bu çalıĢmada oral hijyenin kötüleĢmesi, inflamasyon, alveoler osteitis gibi mandibular gömülü 3.molar çekim komplikasyonları el tercihi farklı olan hastalarda karĢılaĢtırılmıĢtır. Ameliyat mandibular ve bukkal lokal anestezi uygulanarak yapıldı.…”

Section: Gġrġġunclassified

Mandi̇bular Gömülü 3.MOLAR Cerrahi̇ Çeki̇m Sonrasi Kompli̇kasyonlar Ve El Terci̇hi̇ Arasindaki̇ İli̇şki̇

Akyol¹,

Keçecioğlu²

2018

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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ÖZAmaç: Mandibular 3.molar çekim sonrası ameliyat bölgesinde kötü oral hijyen, inflamasyon, alveoler osteitis gibi komplikasyonlar oluĢabilir. Bu çalıĢmada, mandibular 3.molar çekimini takiben görülen bu komplikasyonların el tercihi farklı olan hastalarda değerlendirilmesi amaçlanmıĢtır. Gereç ve Yöntem: ÇalıĢmaya, sağ ve sol mandibular gömülü 3.molar diĢlerin çekiminin gerekli olduğu 43 hasta dahil edildi. Aynı hastadan sağ ve sol mandibular gömülü diĢ çekimi 30 gün arayla yapıldı. 4 hasta grubu oluĢturuldu; 1) El tercihi sol-sağ mandibular 3.molar diĢi çekilen 2) El tercihi sol-sol mandibular 3.molar diĢi çekilen 3) El tercihi sağ-sağ mandibular 3.molar diĢi çekilen 4) El tercihi sağ-sol mandibular 3.molar diĢi çekilen. Oral hijyen için operasyondan önce ve sonraki 7. günde hastalar değerlendirildi. Ġnflamasyon ve alveoler osteitis varlığı operasyondan sonraki 2. ve 7. günde tüm hasta gruplarında değerlendirildi. Bulgular: Gruplar arasında oral hijyen, inflamasyon ve alveoler osteitis oluĢması açısından istatiksel bir fark görülmedi (p > 0.05). Sonuç: Elde edilen sonuçlar mandibular 3. molar çekimi sonrası inflamasyon ve alveoler osteitis oluĢması, ağız hijyeninin kötüleĢmesinin el tercihi ile iliĢkili olmayabileceğini göstermektedir. Anahtar Kelimeler: fonksiyonel lateralite, gömülü, diĢ çekimi ABSTRACT Aim: Following the impacted third molar extraction, complications could be developed on the operation site, such as poor oral hygiene, alveolar osteitis, and inflammation. The aim of the study was to investigate these complications following the mandibular third molar extraction in patients with different hand preference. Material and Methods: Forty three patients who were indicated for bilateral surgical extraction of impacted mandibular third molars were included in the study. The interval between the extraction of the right and left molars of the patient was 30 days. The patients were divided into four groups; 1) Left Handed-Right Impacted Mandibular Third Molar Extracted, 2) Left Handed-Left Impacted Mandibular Third Molar Extracted, 3) Right Handed-Right Impacted Mandibular Third Molar Extracted, and 4) Right Handed-Left Impacted Mandibular Third Molar Extracted. The patients were evaluated for oral hygiene before and after the operation on 7 th day. The inflammation and the presence of alveolar osteitis were assessed on 2 nd and 7 th postoperative days in all groups of patients. Results: The statistical significance was not observed between the groups regarding the oral hygiene, inflammation, and occurrence of alveolar osteitis. (P>0.05) Conclusion: The results suggest that hand preference may not be related to the development of inflammation, alveolar osteitis, and worsening of the oral hygiene following the mandibular third molar extraction.

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Section: Gġrġġunclassified

Relationship Between Handedness and Postoperative Complications in Surgical Removal of Impacted Mandibular Third Molars

Akyol¹,

Keçecioğlu²

2018

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Mandibular 3.molar çekim sonrası ameliyat bölgesinde kötü oral hijyen, inflamasyon, alveoler osteitis gibi komplikasyonlar oluĢabilir. Bu çalıĢmada, mandibular 3.molar çekimini takiben görülen bu komplikasyonların el tercihi farklı olan hastalarda değerlendirilmesi amaçlanmıĢtır. Gereç ve Yöntem: ÇalıĢmaya, sağ ve sol mandibular gömülü 3.molar diĢlerin çekiminin gerekli olduğu 43 hasta dahil edildi. Aynı hastadan sağ ve sol mandibular gömülü diĢ çekimi 30 gün arayla yapıldı. 4 hasta grubu oluĢturuldu; 1) El tercihi sol-sağ mandibular 3.molar diĢi çekilen 2) El tercihi sol-sol mandibular 3.molar diĢi çekilen 3) El tercihi sağ-sağ mandibular 3.molar diĢi çekilen 4) El tercihi sağ-sol mandibular 3.molar diĢi çekilen. Oral hijyen için operasyondan önce ve sonraki 7. günde hastalar değerlendirildi. Ġnflamasyon ve alveoler osteitis varlığı operasyondan sonraki 2. ve 7. günde tüm hasta gruplarında değerlendirildi. Bulgular: Gruplar arasında oral hijyen, inflamasyon ve alveoler osteitis oluĢması açısından istatiksel bir fark görülmedi (p > 0.05). Sonuç: Elde edilen sonuçlar mandibular 3. molar çekimi sonrası inflamasyon ve alveoler osteitis oluĢması, ağız hijyeninin kötüleĢmesinin el tercihi ile iliĢkili olmayabileceğini göstermektedir.

show abstract

Effects of co-administered dexamethasone and nimesulide on pain, swelling, and trismus following third molar surgery: a randomized, triple-blind, controlled clinical trial

Cited by 45 publications

References 30 publications

Evaluation of Dexamethasone Injection into the Pterygomandibular Space in Impacted Lower Third Molar Surgery

Evaluation of Dexamethasone Injection into the Pterygomandibular Space in Impacted Lower Third Molar Surgery

Mandi̇bular Gömülü 3.MOLAR Cerrahi̇ Çeki̇m Sonrasi Kompli̇kasyonlar Ve El Terci̇hi̇ Arasindaki̇ İli̇şki̇

Relationship Between Handedness and Postoperative Complications in Surgical Removal of Impacted Mandibular Third Molars

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