Postoperative pain can be reduced using a sublingual injection of dexamethasone in lower third molar surgery

Primary tabs

SCIENCE
Postoperative pain can be reduced using a sublingual injection of dexamethasone in lower third molar surgery
Key Take-Away: 

Sublingual injection of dexamethasone (8 mg) can substantially eradicate the post-operative pain associated with surgical removal of the mandibular third molar.

Patients undergoing mandibular third molar surgery are often concerned about the post-operative pain. 

ABSTRACT: 
Background: 

Patients undergoing mandibular third molar surgery are often concerned about the post-operative pain.

However, previous researchers have proved the efficacy of various methods to treat such pain. The present study by Gozali P and colleagues aimed to assess the effectiveness of sublingual injection of dexamethasone (8 mg) to treat post-operative pain after mandibular third molar surgery.

Methods: 

A randomized, double-blind, split-mouth, clinical trial was conducted involving 48 healthy patients who required surgical removal of two mandibular third molars with similar bilateral positions.

All operations were performed by the same experienced surgeon. The patients were randomized into a study group (8 mg dexamethasone injection) and a placebo group (normal saline injection). Both interventions were injected into the sublingual space immediately after local anesthesia, 30 min before the first incision. The wash period between the patients' two operations was 3 to 4 weeks. The pain was assessed by recording the number of analgesic tablets (rescue drug) consumed, as well as by noting the patients' responses to the visual analog scale (VAS) on the first, second, and third days after the surgery.

Results: 

The study group differed significantly from the placebo group regarding VAS score and analgesic consumption.

Conclusion: 

Dexamethasone (8 mg), injected sublingually, significantly alleviated the post-operative pain after surgical removal of the mandibular third molar.

Source:

Journal of Dental Anesthesia and Pain Medicine

Link to the source:

https://jdapm.org/DOIx.php?id=10.17245/jdapm.2017.17.1.47

The original title of the article:

Decreased postoperative pain using a sublingual injection of dexamethasone (8 mg) in lower third molar surgery

Authors:

Peiter Gozali; Kiatanant Boonsiriseth; et al.

Log in or register to post comments