Objective: To evaluate the combined effect of single preoperative dose of dexamethasone and ibuprofen in comparison to dexamethasone alone on postoperative pain, swelling and trismus after third molar surgery. Methods: Sixty patients (35 males, 25 females), underwent surgical extraction for their partially impacted lower third molar. Patients were allocated into three groups. In the first group (n=20), 8mg of (2ml) dexamethasone was injected intramuscularly into the deltoid muscle one hour before the operation, while in the second group (n=20), 8mg of (2ml) dexamethasone was injected intramuscularly into the deltoid muscle and 600mg ibuprofen was administered one hour before the operation. In the third (control) group (n=20), 2ml of normal saline was injected intramuscularly. Pain, swelling and trismus were evaluated postoperatively. The data were collected and statistically analyzed using (ANOVA) test. Results: There was no significant difference among the groups (control, dexamethasone, and dexamethasone-ibuprofen groups) in pain intensities showed by visual analogue scale. Postoperative swelling was significantly less in dexamethasone, and dexamethasone-ibuprofen groups in comparison with the control group. Smaller loss of mouth opening postoperatively was noted in dexamethasoneibuprofen group compared to the other two groups. Conclusion: The combination of preoperative dexamethasone and ibuprofen is associated with reduced pain, trismus, and swelling after dental surgical procedures.
Background. Autogenous Tooth Transplantation (ATT) is the surgical movement of a maturely or immaturely formed tooth from its original site to another extraction site or a surgically prepared socket in the same individual. The most important factor in the healing process after autotransplantation is the presence of intact and viable periodontal ligament cells, which have the ability to differentiate into osteoblasts and able to induce bone production. ATT can successfully replace removable dentures as a restoration option in a growing patient, while implants can be placed only after skeletal maturity is attained. Case Presentation. In this case, we presented an immediate ATT of the third molar with unformed roots to the extraction socket of the first molar with evidence of continued root formation after 2 years of follow-up. Conclusion. Platelet-Rich Fibrin (PRF) can induce sustainable and accelerated healing, and it can also induce the regeneration process of the periodontal tissues and pulpal formation. This process plays a key role in future root development and success rate.
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