Effect of Dexamethasone Versus Triamcinolone Acetonide On Postoperative Complications After Impacted Third Molar Surgery: Effect of Dexamethasone vs. Triamcinolone Acetonide on Third Molar Surgery

Imam Bux Khalti; Tarique Hussain Shaikh; Aftab Ahmed Kumbhar; Saadia Siddique; Munir Hussain Zardari; Seerat-ul-Urooj Bhutto; Kashif Ali Channar

doi:10.54393/pjhs.v5i08.1982

Authors

Imam Bux Khalti Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Tarique Hussain Shaikh Department of Oral and Maxillofacial Surgery, Isra University, Hyderabad, Pakistan
Aftab Ahmed Kumbhar Department of Oral and Maxillofacial Surgery, Bhitai Dental and Medical College, Mirpurkhas, Pakistan
Saadia Siddique Department of Oral and Maxillofacial Surgery, Jinnah Medical and Dental College, Karachi, Pakistan
Munir Hussain Zardari Department of Oral and Maxillofacial Surgery, Dow University of Health Sciences, Karachi, Pakistan
Seerat-ul-Urooj Bhutto Department of Oral Pathology, Muhammad Dental College Ibne-E- Sina University, Mirpurkhas, Pakistan
Kashif Ali Channar Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i08.1982

Keywords:

Impacted Tooth, Dexamethasone, Triamcinolone Acetonide, Wisdom Tooth Surgery

Abstract

In the area of maxillofacial surgery, taking out of impacted teeth, particularly third molars represents a common practice. Corticosteroids play a substantial role in reducing edema and have been found to have anti-inflammatory belongings. Objective: To compare the outcome of Dexamethasone vs. Triamcinolone Acetonide after impacted third molar surgery. Methods: A quasi-experimental study was organized the Department of Oral and Maxillofacial Surgery, Liaquat University of Medical and Health Sciences, Jamshoro/Hyderabad. A total of 288 patients with Mesioangular impaction of mandibular 3^rd molar tooth were placed into two groups at random. Group-A (Dexamethasone Injection) 4mg was injected instantly into the submucosal at about 1cm above the surgical area and in Group-B (Triamcinolone Acetonide Injection) 4mg was also injected immediately at the same place. Measurements were made on the mouth opening, severity of pain, and swelling. Results: The mean pain score was significantly lower in group B than in group A on the 7^th postoperative day (p = 0.0005). Mean facial swelling size was not statistically significant between groups at 2^ndday but it was significantly low in group B as compared to group A at 5^th and 7^th postsurgical days. Mean mouth opening was also significantly higher in group B than in group A at the 5^th and 7^th postoperative days (p = 0.0005). Conclusions: Submucosal applying corticosteroid medication may be a very painless, effective, cheap, less hazardous, simpler technique for both the patient and the doctor, and its systemic effect is limited.

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