Use of Corticosteroids in third molar surgery: Review of literature

Das, Joy R; Vp, Sreejith; Anooj, PD; Vasudevan, Amith

doi:10.4103/2249-9725.162800

Cited by 9 publications

(9 citation statements)

References 3 publications

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“…Use of the corticosteroid, Dexamethasone, given by local [ 16 ], oral [ 11 , 17 , 18 ], intramuscular [ 19 ], intravenous, or submucosal [ 11 , 17 , 20 , 21 ] routes, either preoperatively, perioperatively, or postoperatively appears to be effective in the prevention of postoperative edema. Long-acting steroids give better results than short-acting one and submucosal administration of steroids produces similar effects to intravenous and intramuscular routes [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Comparative Assessment of Preoperative versus Postoperative Dexamethasone on Postoperative Complications following Lower Third Molar Surgical Extraction

Al-Shamiri

Shawky

Hassanein

2017

International Journal of Dentistry

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Aim. To evaluate the effect of preoperative versus postoperative administration of oral Dexamethasone on postoperative complications including pain, edema, and trismus following lower third molar surgery. Methods. 24 patients were divided into two equal groups receiving 8 mg Dexamethasone orally, one group one hour preoperatively and the other group immediately after surgery. Pain was measured using VAS, edema was measured using a graduated tape between 4 fixed points in the face, and the mouth opening was measured using a graduated sliding caliper. Results. In this study pain and trismus records were similar and statistically nonsignificant in both groups. The results had proven that preoperative administration was superior when compared to postoperative administration regarding edema (0.002). Conclusions. Preoperative oral administration of 8 mg Dexamethasone was superior to the postoperative administration of the same dose concerning edema after lower third molar surgery.

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Section: Discussionmentioning

confidence: 99%

Comparative Assessment of Preoperative versus Postoperative Dexamethasone on Postoperative Complications following Lower Third Molar Surgical Extraction

Al-Shamiri

Shawky

Hassanein

2017

International Journal of Dentistry

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“…Various measures such as application of ice, analgesics, anti-inflammatory agents, and proteolytic enzymes have been practiced to minimize these complications. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…Such surgical procedures usually result in injury of tissues, involving inflammation and repair processes. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Effect of proteolytic enzyme bromelain on pain and swelling after removal of third molars

Singh¹,

Fatima³

et al. 2016

J Int Soc Prevent Communit Dent

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Aims and Objectives:To evaluate the effect of bromelain on pain and swelling after surgical removal of third molars.Materials and Methods:A prospective randomized clinical study was conducted among 40 patients requiring surgical removal of impacted mandibular third molars. All the impacted molars were surgically removed, and the patients were administered bromelain along with amoxicillin. Patients were recalled on day 1, day 3, and day 7 for postoperative pain assessment using visual analogue scale (VAS) and postoperative swelling assessment using facial reference points tragus and pogonion. VAS score was statistically analyzed using repeated analysis of variance with post-hoc Bonferroni test postoperatively on day 1, day 3, and day 7 using the Statistical Package for the Social Sciences software version 14.Results:Out of the total 40 patients, bromelain was effective in 28 (70%) patients. In these patients, there was reduction in swelling and pain after taking bromelain.Conclusion:Bromelain can be used as a successful oral enzyme therapy for oral surgery patients, especially after removal of impacted third molars.

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“…Various measures such as application of ice, analgesics, anti-inflammatory agents, and proteolytic enzymes have been practiced to minimize these complications. [ 14 15 ]…”

Section: R Esults and Discussionmentioning

confidence: 99%

Postoperative healing after surgical removal of mandibular third molar: A comparative study between two proteolytic enzymes

Kumar¹,

Prasanna²,

Kirubanandan

et al. 2020

J Pharm Bioall Sci

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A BSTRACT Objective: The postoperative symptoms after third molar removal surgery were commonly uneventful. The aim of this study was to compare two proteolytic enzymes from different origin and to prove which enzyme provides a faster healing. One of the proteolytic enzymes involves a combination with a flavonoid. This involves trypsin, bromelain, along with a flavonoid rutin. Another proteolytic enzyme is serratiopeptidase that helps in degradation of insoluble proteins causing reduced swelling in the operated site. Materials and Methods: In this study, voluntary subjects of clinically indicated bilateral lower third impaction were selected. The subjects were recommended to undergo extraction of impacted teeth in two sittings, one extraction per visit. In the first sitting, subjects were prescribed trypsin, bromelain, and rutin combination after removal of 48 teeth and in the second sitting subjects were prescribed serratiopeptidase after removal of 38 teeth. There was a time interval of 2–3 weeks in between the sittings. The post findings such as mouth opening, swelling, and pain scale were noted. Results: The results showed that the proteolytic enzyme combination of trypsin, bromelain, and rutin is better than serratiopeptidase. Conclusion: It is recommended that trypsin, bromelain, and rutin combination can be used effectively for postoperative purpose to facilitate wound healing.

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Use of Corticosteroids in third molar surgery: Review of literature

Cited by 9 publications

References 3 publications

Comparative Assessment of Preoperative versus Postoperative Dexamethasone on Postoperative Complications following Lower Third Molar Surgical Extraction

Comparative Assessment of Preoperative versus Postoperative Dexamethasone on Postoperative Complications following Lower Third Molar Surgical Extraction

Effect of proteolytic enzyme bromelain on pain and swelling after removal of third molars

Postoperative healing after surgical removal of mandibular third molar: A comparative study between two proteolytic enzymes

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