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Targeted masseter muscle dexamethasone injection improves postoperative pain management in impacted lower third molar surgery.
As per the findings of a randomized clinical trial, intramuscular dexamethasone (a corticosteroid) injection into the masseter muscle successfully alleviates postoperative pain following impacted lower third molar extraction, offering a promising strategy for improving recovery in oral and maxillofacial surgery.
The study included 20 patients (4 males, 16 females) who underwent surgical extraction of 40 impacted lower third molars using a split-mouth randomized design. Volunteers were segregated into:
Postoperative outcomes were assessed based on maximum mouth opening, pain severity, and degree of facial swelling. A statistically significant reduction in postoperative pain was noted in the dexamethasone group on the 3rd postoperative day, particularly when analyzed by sex distribution (P = 0.034). By the 7th postoperative day, no prominent difference was found between groups in terms of facial swelling and maximum mouth opening.
To sum up, intraoperative administration of dexamethasone into the masseter muscle appears to be a safe and effective strategy for minimizing postoperative complications after molar extraction.
Erbil Dental Journal (EDJ)
Effect of Local Dexamethasone on Pain, Swelling, and Trismus After Extraction of Impacted Lower Third Molar
Zain Mohsin Hamzah et al.
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