Clinical Evaluation of Corticosteroid on Post Operative Morbidity in Impacted Lower Third Molar Surgery

Abstract

Introduction: Mandibular third molar is most commonly dental impacted and it’s removal is not without morbidity. Post operative pain, swelling and trismus are universal. This study was carried out to compare the effect of co-administered corticosteroid and diclofenac Na+/K+ with diclofenac Na+/K+ alone on the post operative morbidity like pain, swelling and trismus after surgical removal of impacted lower third molars.

Materials and Methods: The study was a prospective study done over a period of 01.01.13 to 30.06.14 in Department of Oral & Maxillofacial Surgery (OMS), Military Dental Center, Combined Military Hospital, Dhaka and the department of OMS Dhaka Dental College and Hospital, Dhaka. Sixty patients were included in the study and were randomly divided into two study groups: Control group received only diclofenac Na+/K+, Experimental group received corticosteroid and diclofenac Na+/K+. Pain, swelling and trismus were evaluated before, 1st, 2nd and 7th POD after surgery.

Results: Among the 60 cases common type of impaction was horizontal and vertical type (30%) followed by Mesioangular (23%) and Distoangular (17%). All corticosteroid groups showed statistically significant (p < 0.01) improvement in pain and trismus at 1st and 2nd pod, but statistically significant (p < 0.01) improvement of swelling occur only on 2nd pod as compared to control group.

Conclusion: Corticosteroid and diclofenac Na+/K+ combination was found effective for early recovery and the patients who used this combination suffered less pain, swelling and trismus after impacted mandibular third molar surgery.

Medicine Today 2020 Vol.32(1): 5-9