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Effect of the route of administration of methylprednisolone on oedema and trismus in impacted lower third molar surgery

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dc.creator Kocer, G.
dc.creator Yuce, E.
dc.creator ÖNCÜL, AYŞEGÜL MİNE TÜZÜNER
dc.creator Dereci, O.
dc.creator Koskan, O.
dc.date 2014-04-30T21:00:00Z
dc.date.accessioned 2020-10-06T10:14:33Z
dc.date.available 2020-10-06T10:14:33Z
dc.identifier 5761e7c3-c628-4dcd-8ba1-745be622027f
dc.identifier 10.1016/j.ijom.2013.11.005
dc.identifier https://avesis.sdu.edu.tr/publication/details/5761e7c3-c628-4dcd-8ba1-745be622027f/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/60635
dc.description Due to their anatomical position, the surgical removal of impacted third molars results in oedema, pain, and trismus. The purpose of this study was to evaluate the efficacy of supraperiosteal injection of methylprednisolone compared with an oral tablet form and intravenous (i.v.) injection in the prevention of postoperative pain and oedema associated with inflammation. This randomized, prospective, and controlled study included 44 patients. The patients were randomly divided into four groups: group 1 (control; no steroids), group 2 (local injection), group 3 (oral tablets), and group 4 (i.v. injection). On days 2 and 7 following surgery, linear oedema was determined using facial landmarks, and maximal mouth opening was measured. Postoperative mouth opening and swelling were evaluated for each route of methylprednisolone administration and compared. The female (59%) to male (41%) ratio was 1.44; the mean age of the patients was 29.6 years. The level of significance was set at P < 0.01 for mouth opening and P < 0.05 for oedema. With regard to trismus, all three routes of administration demonstrated better efficacy in comparison to the control. While oral administration and i.v. injection of methylprednisolone achieved similar results, masseter injection provided better results in reducing oedema and trismus when compared to the control following lower third molar surgery.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Effect of the route of administration of methylprednisolone on oedema and trismus in impacted lower third molar surgery
dc.type info:eu-repo/semantics/article


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