Aim:
To compare the efficacy of intravenous (IV), intramassetric (IM) submucosal (SM) routes & oral routes of dexamethasone administration post impacted third molar removal surgery.
Type of Study:
Prospective randomized comparative clinical study.
Materials and Method:
This prospective comparative study included 60 patients with Class II and position B type of impaction (according to Pell and Gregory's classification). Patients were randomly divided into 4 groups. Group A, B, C & D patients received 8mg dexamethasone immediately post-surgical tooth removal via the IV, SM and IM route & oral respectively. Assessment of swelling, mouth opening and pain was done at intervals of 1st, 3rd and 7th post-op days.
Results:
The average age of the patients was 27 years. The mean time taken was 20 mins 40 seconds. The IV group showed minimal swelling and better pain control on the 3rd post op day (statistically significant). All 4 routes showed comparable mouth opening results.
Conclusion:
IV administration of dexamethasone post third molar surgery has been the traditional way because of its faster onset of action and increased efficacy; IM and SM routes are also comparably effective although oral route had the best patient acceptance.
The aim of the study is to compare the efficacy of intravenous (IV), intramassetric (IM), and submucosal (SM) routes of dexamethasone administration post-impacted third molar removal surgery. Materials and Methods: This prospective comparative study included 45 patients with Class II and position B type of impaction (according to Pell and Gregory's classification). Patients were randomly divided into three groups. Group A, B, C patients received 8mg dexamethasone immediately post-surgical tooth removal through the IV, SM, and IM route, respectively. Assessment of swelling, mouth opening, and pain was done at intervals of 1 st , 3 rd , and 7 th post-operative days. Results: The average age of the patients was 27 years. The average time taken was 20 min 40 s. The IV group showed minimal swelling and better pain control on the 3 rd post-operative day (statistically significant). All three routes showed comparable mouth opening results. Conclusion: IV administration of dexamethasone post-third molar surgery has been the traditional way because of its faster onset of action and increased efficacy; the IM and SM routes are also comparably effective and have their own advantages.
Introduction: Rigid internal fixation using Champy's miniplates is one of the commonly used treatment modalities to treat mandibular anterior fractures. The drawbacks of these methods have led to the evolution of 3-dimensional (3-D) miniplates. This study was designed to compare the efficacy of single 3-D miniplates over Champy's 2 miniplates in mandibular symphysis and parasymphysis fractures. Materials and Methods: 20 patients with anterior mandibular fractures were randomly were divided into 2 groups, wherein single 3-D plates were placed in Groups I and 2 miniplates in Group II. The efficacy of 3-D miniplates over Champy's miniplates was evaluated in terms of the following parameters: Operating duration, occlusal discrepancy, infection, mobility of fracture segment, wound dehiscence, neurological function. Results: The mean operation duration for Group I was less compared to Group II (statistically significant), wound dehiscence were present in 2 cases in Group II, neurological deficit in one case in-Group II (statistically insignificant).
Conclusion:The results of the study confirms that single plate fixation of mandibular anterior fractures with 3-D titanium miniplates system is a good alternative to Champy's 2 miniplates system as it provides good stability, requires less intraoperative time and carries lower rates of infection compared to the regular miniplate systems.
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