Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar
Objectives: This study aimed to evaluate the efficacy and postoperative complications of preoperative submucosal dexamethasone injection compared to preoperative dexamethasone injection into the pterygomandibular space for surgical extraction of the impacted lower third molar. Study design a...
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| Language: | English |
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Bahria Univerisy Health Sciences, Campus Karachi
2024-07-01
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| Series: | Journal of Bahria University Medical and Dental College |
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| Online Access: | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1504 |
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| author | Shaheen Ahmed Usman Ashraf Abdul Hafeez Shaikh Soofia Jamil Syed Jaffar Abbas Zaidi Qaiser Ali Baig |
| author_facet | Shaheen Ahmed Usman Ashraf Abdul Hafeez Shaikh Soofia Jamil Syed Jaffar Abbas Zaidi Qaiser Ali Baig |
| author_sort | Shaheen Ahmed |
| collection | DOAJ |
| description | Objectives: This study aimed to evaluate the efficacy and postoperative complications of preoperative submucosal dexamethasone injection compared to preoperative dexamethasone injection into the pterygomandibular space for surgical extraction of the impacted lower third molar.
Study design and setting: This was a quasi-experimental, cross-sectional study conducted at the Department of Oral and Maxillofacial Surgery, Dow International Dental College, Dow University of Health Sciences, Karachi, from April to July 2021.
Methodology: The study sample consisted of 72 patients who reported surgical extraction of their lower wisdom teeth and consented to participate in this study. The patients were randomly divided into the submucosal injection group (SM) and the pterygomandibular space (PM) group. The injection time was recorded on the second and seventh postoperative days. Results: No significant differences in the duration of the intervention were observed between the two groups (23.08 min in PM, 23.07 min in SM). The postoperative facial swelling was significantly reduced transversely (ear lobe to the angle
of the mouth) in both groups compared to their respective baselines on the first postoperative day. On the secondpostoperative day, significant changes were observed in the submucosal group in postoperative swelling.
Conclusions: Using intraoral dexamethasone injections in third molar surgery significantly reduces conventional complications of surgery while avoiding the systemic side effects of steroids. Dexamethasone should be used regardless of the administration site when warranted, with less apprehension than is common in dentistry |
| format | Article |
| id | doaj-art-5bb3f8b2e0104733ab36208fddc36091 |
| institution | DOAJ |
| issn | 2220-7562 2617-9482 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Bahria Univerisy Health Sciences, Campus Karachi |
| record_format | Article |
| series | Journal of Bahria University Medical and Dental College |
| spelling | doaj-art-5bb3f8b2e0104733ab36208fddc360912025-08-20T03:11:09ZengBahria Univerisy Health Sciences, Campus KarachiJournal of Bahria University Medical and Dental College2220-75622617-94822024-07-01140317417910.51985/JBUMDC20232511504Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third MolarShaheen AhmedUsman AshrafAbdul Hafeez ShaikhSoofia JamilSyed Jaffar Abbas ZaidiQaiser Ali BaigObjectives: This study aimed to evaluate the efficacy and postoperative complications of preoperative submucosal dexamethasone injection compared to preoperative dexamethasone injection into the pterygomandibular space for surgical extraction of the impacted lower third molar. Study design and setting: This was a quasi-experimental, cross-sectional study conducted at the Department of Oral and Maxillofacial Surgery, Dow International Dental College, Dow University of Health Sciences, Karachi, from April to July 2021. Methodology: The study sample consisted of 72 patients who reported surgical extraction of their lower wisdom teeth and consented to participate in this study. The patients were randomly divided into the submucosal injection group (SM) and the pterygomandibular space (PM) group. The injection time was recorded on the second and seventh postoperative days. Results: No significant differences in the duration of the intervention were observed between the two groups (23.08 min in PM, 23.07 min in SM). The postoperative facial swelling was significantly reduced transversely (ear lobe to the angle of the mouth) in both groups compared to their respective baselines on the first postoperative day. On the secondpostoperative day, significant changes were observed in the submucosal group in postoperative swelling. Conclusions: Using intraoral dexamethasone injections in third molar surgery significantly reduces conventional complications of surgery while avoiding the systemic side effects of steroids. Dexamethasone should be used regardless of the administration site when warranted, with less apprehension than is common in dentistryhttps://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1504pterygomandibular space; dexamethasone injection; submucosal dexamethasone; third molar surgery; randomized controlled trial. |
| spellingShingle | Shaheen Ahmed Usman Ashraf Abdul Hafeez Shaikh Soofia Jamil Syed Jaffar Abbas Zaidi Qaiser Ali Baig Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar Journal of Bahria University Medical and Dental College pterygomandibular space; dexamethasone injection; submucosal dexamethasone; third molar surgery; randomized controlled trial. |
| title | Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar |
| title_full | Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar |
| title_fullStr | Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar |
| title_full_unstemmed | Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar |
| title_short | Efficacy of Submucosal versus Pterygomandibular Dexamethasone Injection in Surgical Extraction of the Impacted Lower Third Molar |
| title_sort | efficacy of submucosal versus pterygomandibular dexamethasone injection in surgical extraction of the impacted lower third molar |
| topic | pterygomandibular space; dexamethasone injection; submucosal dexamethasone; third molar surgery; randomized controlled trial. |
| url | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/1504 |
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