Introduction: The most common dento-alveolar procedure is surgical removal of an impacted third molar, which is associated with post-operative pain, swelling, and trismus. Objective: To determine the effect of submucosal dexamethasone injection on the post-operative outcomes in third molar surgeries. Materials and Methods: It was a descriptive study conducted in Department of Oral & Maxillofacial Surgery, Liaquat College of Medicine & Dentistry, Karachi between November 7, 2019 to May 6, 2020. All patients who fulfilled the inclusion criteria and visited to LCMD, Karachi were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. In our study, all the patients (n=65) received 4mg submucosal dexamethasone injection. The duration of surgery was recorded with postoperative outcomes in terms of pain, trismus and swelling were measured on 3rd and 7th day. All the collected data were entered into the proforma and used electronically for research purpose. Results: The mean SD of age was 25.9 ± 7.2 years. Right side surgery was documented in 39 (60%) patients, while left side surgery was documented in 26 (40%) patients. On the third and seventh day, the mean SD of VAS pain score was (5.9 ± 3.2), (3.8 ± 4.4), swelling was (2.5 ± 1.1), (0.9 ± 0.6) mm, and trismus was (16.9 ± 9.7), (11.8 ± 9.1) mm, respectively. Conclusion: It is to be concluded that a significant difference in outcomes was observed between the third and seventh post-operative days in patients who had submucosal dexamethasone injections in third molar surgeries.
Aphtha is a Greek word for ulceration which is a common problem in dentistry for diagnosis and treatment. Objective: To assess serum levels of iron among patients with RAS and its comparison with the control group. Methods: The analysis involved 150 subjects alienated into 2 groups as a group with recurrence of aphthous ulcer and a control group. The 75 patients were encompassed in the control group and 70 in the aphthous ulcer matched for age and sex. Based on the history and clinical examination, the diagnosis of RAS was made. By ELISA test and ELX 800 Absorbance Microplate Reader tool, Serum ferritin was measured, while micro-lab 300 was used to evaluate serum hemoglobin and iron levels. Results: Grounded on standard values of laboratory investigations, serum levels of iron were suggestively lower in patients of RAS in comparison to the control group. Minor RAS type was observed in 71 patients (94.7%), while major RAS was reported in 4 patients (5.3%). Out of 75, 20% had multiple ulcers and 80% had a single ulcer. While RAS was localized in non-keratinized mucous membrane in 64 patients (85.3%), in 6 patients (8%); RAS was located in keratinized mucous membrane and both non-keratinized and keratinized mucosa were seen in 5 subjects (6. 7%). Conclusion: The presence of iron deficiency has been linked to recurrent aphthous stomatitis
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