Use of corticosteroids in oral surgery

Gersema, Lisa M.; Baker, Karen

doi:10.1016/0278-2391(92)90325-t

Cited by 114 publications

(68 citation statements)

References 15 publications

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“…Some articles suggest having NSAIDs for post-operative pain management [18,19] and others prefer glucocorticoids for managing post-operative edema and trismus [18,20]. This effect can be related to the role of prostaglandins in local pain and their inhibition by NSAIDs will result in pain relief.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of the Effect of Prednisolone and Celecoxib on MMO (Maximum Mouth Opening) and Pain Following Removal of Impacted Mandibular Third Molars

Moghaddamnia

Nosrati

Mehdizadeh

et al. 2012

J. Maxillofac. Oral Surg.

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Objective The purpose of this study was to compare the effects of prednisolone and celecoxib on pain and maximum mouth opening (MMO) after surgical removal of mandibular third molars. Methods and Materials This double-blind clinical study was conducted upon 60 subjects. These patients received 4 tablets of either 100 mg celecocxib or 5 mg prednisolone: one tablet before surgery and the rest for every 8 h postoperation. The subjects were asked to take acetaminophen codeine as rescue dose. Interincisal distance of upper and lower central teeth and pain measurements (according to Visual Analogue Scale) were taken before surgery, 24 h, 48 h and 7 days after surgery. Results Average pain intensity in 24 h after surgery in patients receiving celecoxib was 3.6 ± 2.5 with significant difference to the other group (p = 0.041), but in subsequent evaluations prednisolone group reported less pain intensity, but the differences were not significant. MMO in 48 h after surgery was lower in prednisolone group (p = 0.640) and in further evaluations the groups were almost similar. Analyzing the data revealed no significant difference between groups in MMO. Conclusion According to this study there is no significant difference in the effects of prednisolone or celecoxib upon MMO, while celecoxib had better results for pain relief in 24 h after surgery in comparison to prednisolone.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study of the Effect of Prednisolone and Celecoxib on MMO (Maximum Mouth Opening) and Pain Following Removal of Impacted Mandibular Third Molars

Moghaddamnia

Nosrati

Mehdizadeh

et al. 2012

J. Maxillofac. Oral Surg.

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“…Other studies have been carried out to assess the potential benefi t of steroid in reducing postoperative complications. 23,24 However, most surgeons feel that there is no need to carry out such specifi c measures to reduce postoperative swelling and trismus, since both of these symptoms usually subside after 3-5 days of their own accord.…”

Section: Discussionmentioning

confidence: 99%

“…29 The use of a preoperative chlorhexidine rinse and resorbable gelatine or cellulose sponges have been suggested to reduce the incidence of alevolar osteitis, infection and bleeding. 1,11,16,24 Numbness of the lip and tongue are symptoms that a patient may rate as having a high signifi cance compared with some of the other complications described. The rates of nerve damage are variable.…”

Section: Discussionmentioning

confidence: 99%

Experience in third molar surgery: an update

Jerjes¹,

Upile

Nhembe³

et al. 2010

Br Dent J

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“…7 Convincing evidence of their efficacy in reduction of postoperative swelling and protection of masticatory function following wisdom tooth removal exists. The data supporting steroid use in peri-operative management of osteotomies are difficult to prove.…”

Section: Discussionmentioning

confidence: 99%