COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR

Objective: To compare the post surgical effects of two different concentrations’ i.e. 4mg (milligram) and 8mg of sub mucosal dexamethasone to decrease trismus by comparing the mean decrease in interincisal distance in patients undergoing impacted mandibular third molar surgery. Study Design: Rand...

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Autores principales:	Tahir Ullah Khan, Tariq Mehmood, Zafar Ali Khan, Muhammad Farooq, Muhammad Ishfaq, Rozi Afsar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	impacted tooth surgical extraction Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/48027f7149cc4d2fb587845fd740b836
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spelling	oai:doaj.org-article:48027f7149cc4d2fb587845fd740b8362021-12-02T06:04:25ZCOMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR0030-96482411-8842https://doaj.org/article/48027f7149cc4d2fb587845fd740b8362018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2299/1994https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the post surgical effects of two different concentrations’ i.e. 4mg (milligram) and 8mg of sub mucosal dexamethasone to decrease trismus by comparing the mean decrease in interincisal distance in patients undergoing impacted mandibular third molar surgery. Study Design: Randomized controlled clinical trial. Place and Duration of Study: Outpatient department of oral and maxillofacial surgery unit, Mayo Hospital, Lahore. The study was completed in 6 months, from Jan 2012 to Jul 2012. Material and Methods: This randomized controlled clinical trial was conducted on 150 patients. Patients were divided into two groups A and B. Mean interincisal distance of all patients was recorded pre operatively and post operatively. All patients were advised to use a mouthwash clorhexidine 0.2% before surgery. Group A received 4 mg dexamethasone and group B received 8 mg dexamethasone in the buccal vestibular tissues. Standard surgical procedure was performed by the same operator under same conditions. Postoperative mean interincisal distance of all patients was recorded on day 2 (after 48 hours of surgery). Results: Average age of patients was 32.62 ± 7.86 years with minimum and maximum ages of 20 and 50 years respectively. Gender distribution was almost equal. Average “maximum interincisal” mouth opening distance was significantly higher in group B as compared to group A i.e. (36 ± 3.928 mm (millimeter) versus 26.04 ± 3.097 mm) with p-value=0.000. Conclusion: Eight mg dose of dexamethasone was statistically more significant in reducing the trismus as compare to 4mg (p-value=0.000).Tahir Ullah KhanTariq MehmoodZafar Ali KhanMuhammad FarooqMuhammad IshfaqRozi AfsarArmy Medical College Rawalpindiarticleimpacted toothsurgical extractionMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1235-1239 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	impacted tooth surgical extraction Medicine R Medicine (General) R5-920
spellingShingle	impacted tooth surgical extraction Medicine R Medicine (General) R5-920 Tahir Ullah Khan Tariq Mehmood Zafar Ali Khan Muhammad Farooq Muhammad Ishfaq Rozi Afsar COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
description	Objective: To compare the post surgical effects of two different concentrations’ i.e. 4mg (milligram) and 8mg of sub mucosal dexamethasone to decrease trismus by comparing the mean decrease in interincisal distance in patients undergoing impacted mandibular third molar surgery. Study Design: Randomized controlled clinical trial. Place and Duration of Study: Outpatient department of oral and maxillofacial surgery unit, Mayo Hospital, Lahore. The study was completed in 6 months, from Jan 2012 to Jul 2012. Material and Methods: This randomized controlled clinical trial was conducted on 150 patients. Patients were divided into two groups A and B. Mean interincisal distance of all patients was recorded pre operatively and post operatively. All patients were advised to use a mouthwash clorhexidine 0.2% before surgery. Group A received 4 mg dexamethasone and group B received 8 mg dexamethasone in the buccal vestibular tissues. Standard surgical procedure was performed by the same operator under same conditions. Postoperative mean interincisal distance of all patients was recorded on day 2 (after 48 hours of surgery). Results: Average age of patients was 32.62 ± 7.86 years with minimum and maximum ages of 20 and 50 years respectively. Gender distribution was almost equal. Average “maximum interincisal” mouth opening distance was significantly higher in group B as compared to group A i.e. (36 ± 3.928 mm (millimeter) versus 26.04 ± 3.097 mm) with p-value=0.000. Conclusion: Eight mg dose of dexamethasone was statistically more significant in reducing the trismus as compare to 4mg (p-value=0.000).
format	article
author	Tahir Ullah Khan Tariq Mehmood Zafar Ali Khan Muhammad Farooq Muhammad Ishfaq Rozi Afsar
author_facet	Tahir Ullah Khan Tariq Mehmood Zafar Ali Khan Muhammad Farooq Muhammad Ishfaq Rozi Afsar
author_sort	Tahir Ullah Khan
title	COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
title_short	COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
title_full	COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
title_fullStr	COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
title_full_unstemmed	COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR
title_sort	comparison of two dosages of submucosal dexamethasone to control postoperative trismus after surgical extraction of mandibular impacted third molar
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/48027f7149cc4d2fb587845fd740b836
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COMPARISON OF TWO DOSAGES OF SUBMUCOSAL DEXAMETHASONE TO CONTROL POSTOPERATIVE TRISMUS AFTER SURGICAL EXTRACTION OF MANDIBULAR IMPACTED THIRD MOLAR

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