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Effectiveness of submucosal dexamethasone to control postoperative pain & swelling in apicectomy of maxillary anterior teeth.

AbstractPURPOSE:
The purpose of this study was to evaluate the effect of submucosal dexamethasone injection to control postoperative pain and swelling in apicectomy of maxillary anterior teeth.
METHODS:
A randomized, controlled trial comprising 60 adult patients (68.3% male, 31.7% female) with no local or systemic problems was conducted. Patients were randomly divided into two groups: Group A was given 4mg dexamethasone injection perioperatively. Group B (control group) was treated conventionally without any steroid injection. Postoperative pain and swelling was evaluated using a visual analog scale (VAS). Objective measurements of facial pain and swelling were performed daily up to six days postoperatively.
RESULTS:
Dexamethasone group showed significant reduction in pain and swelling postoperatively compared with the control.
CONCLUSION:
Submucosal dexamethasone 4mg injection is an effective therapeutic strategy for swift and comfortable improvement after surgical procedure and has a significant effect on reducing postoperative pain and swelling. The treatment offers a simple, safe, painless, noninvasive and cost effective therapeutic option for moderate and severe cases.
AuthorsShahzad Ali Shah, Irfanullah Khan, Humera Shahzad Shah
JournalInternational journal of health sciences (Int J Health Sci (Qassim)) Vol. 5 Issue 2 Pg. 156-65 (Jul 2011) ISSN: 1658-3639 [Print] Saudi Arabia
PMID23267293 (Publication Type: Journal Article)

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