Comparación de la efectividad antiinflamatoria de dexametasona como terapia prequirúrgica y postquirúrgica en la cirugía del tercer molar mandibular. Ensayo clínico aleatorizado

Daniella Núñez-Díaz, Victor Chumpitaz-Cerrate, Lesly Chávez-Rimache, Luis German Santa Cruz

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Objective: To compare the anti-inflammatory effectiveness of dexamethasone as pre-surgical and post-surgical therapy in mandibular third molar surgery. Materials and methods: Randomized clinical trial conducted in 60 patients in need of mandibular third molar extraction, ages ranging from 16 to 35 years old, at the Department of Oral and Maxillofacial Surgery of the Arzobispo Loayza National Hospital during the period of January-March, 2016. Patients were distributed in two randomized groups: Group A received 4mg dexamethasone intramuscular before the surgery, and Group B received the same medication post-surgery. Facial edema was assessed using the distance between facial points, trismus was evaluated using the interincisal distance, and pain intensity was determined using a Numerical Scale (NS). Results: Facial edema values were lower in Group A at 60 minutes (p=0.002) and after the first (p=0.001) and third days (p=0.009), compared to Group B. Regarding trismus, no significant differences between the groups were found. Regarding pain intensity, the highest point was recorded at 6 hours in both groups; however, no significant differences between the groups were found. Conclusion: Pre-surgical dexamethasone administration produced a significantly greater reduction in facial edema after mandibular third molar surgery.

Título traducido de la contribuciónComparison of the anti-inflammatory effectiveness of dexamethasone as pre-surgical and post-surgical therapy in mandibular third molar surgery: A randomized clinical trial
Idioma originalEspañol
Páginas (desde-hasta)463-470
Número de páginas8
PublicaciónJournal of Oral Research
Volumen8
N.º6
DOI
EstadoPublicada - 2020

Nota bibliográfica

Publisher Copyright:
© 2020, Universidad de Concepcion. All rights reserved.

Palabras clave

  • Anti-inflammatory agents
  • Dexamethasone
  • Edema
  • Oral
  • Pain
  • Surgery
  • Third molar

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