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Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery

  • Comparative Study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

Third molar surgery (TMS) became a routine, safe office procedure with generally predictable outcomes and relative low cost. It affects quality of life (QOL) of patients by causing considerable pain, swelling and trismus; by changing what people eat, their speech in the first few days after surgery. The purpose of the present study was to improve QOL of patient after lower TMS by injecting single dose 8 mg submucosal dexamethasone.

Materials and Methods

Forty healthy adult subjects of either gender underwent surgical removal of the lower impacted third molar under local anaesthesia and after being randomly assigned to receive either 8 mg dexamethasone submucosal injection or normal saline injection in proximity to surgical site.

Statistical Analysis Used

Chi-square test, Mann–Whitney U test (Z), t student and unpaired t test, and Fisher extract test were used for calculation of data.

Results

Facial swelling, trismus showed significant reduction immediate postoperative day in dexamethasone groups. Patient perception postoperative pain on VAS score was not significant. PoSSe statistics, only three out of seven subscales showed a statistically significant difference between groups viz., Eating subscale, Appearance subscale, Sickness subscale but over all improvement in QOL was observed.

Conclusions

Submucosal dexamethasone effectively reduces postoperative sequelae and improves postoperative QOL after TMS.

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Abbreviations

ASA:

American society of anesthesiologists (physical status classification system)

CTG:

Control group

DXG:

Dexamethasone group

Fig:

Figure

IIO:

Inter incisor opening

POD:

Postoperative day

PoSSe:

Postoperative symptoms and severity scale

PONV:

Postoperative nausea and vomiting

QOL:

Quality of life

TMS:

Third molar surgery

VAS:

Visual analog scale

VAS1-7:

Total VAS score in a week

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Acknowledgments

My heartfull thanks to Mrs Rachana Deo for her technical support.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, National Medical College and Teaching Hospital, Birgunj, Parsa, Nepal

    Saroj Prasad Deo

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  1. Saroj Prasad Deo
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Correspondence to Saroj Prasad Deo.

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Deo, S.P. Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery. J. Maxillofac. Oral Surg. 15, 367–375 (2016). https://doi.org/10.1007/s12663-015-0846-6

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  • DOI: https://doi.org/10.1007/s12663-015-0846-6

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