Effect of Gelfoam Soaked in Dexamethasone on Swelling, Bleeding, and Pain after Third Molars of Mandible Surgery

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SHIRAFKAN SAEED; Bavarsad Shahripour Ali; RAZAVI MAHSHID

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Journal: Jundishapur Scientific Medical Journal Year:2018 | Volume:17 | Issue:4 Page(s): 439-448

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Title

Effect of Gelfoam Soaked in Dexamethasone on Swelling, Bleeding, and Pain after Third Molars of Mandible Surgery

Author(s)

SHIRAFKAN SAEED | Bavarsad Shahripour Ali | RAZAVI MAHSHID | Issue Writer Certificate

Keywords

DexamethasoneQ3

GelfoamQ1

Impacted toothQ1

Lower third molar surgeryQ1

Postoperative complicationQ1

Abstract

Background and Objectives: Surgery on the lower impacted third molar usually involves trauma in the connective tissue area, leading to inflammatory sequelae including bleeding, pain and swelling during the immediate post-operative phase. This study aimed to investigate the effectiveness of Gelfoam soaked with Dexamethasone on bleeding, swelling and pain control after mandibular third molar surgery. Subjects and Methods: This is a randomized controlled singleblind split-mouth study conducted on 25 patients requiring surgical removal of bilateral mandibular impacted third molar. All the patients underwent routine dental extractions of mandibular molar teeth. In the intervention group, Gelfoam soaked in Dexamethasone (8 mg) was placed into the extraction socket postoperatively and the control group received no drug. The intensity of pain, swelling and bleeding was evaluated based on visual analog scale (VAS) on the first, third and sixth day after surgery. Results: The pain and swelling scores was not significantly different on the three postoperative days between the control and study groups (P>0. 05). There was a significant reduction in bleeding on the third postoperative day in the study group compare to control (P=0. 007), but in the first and sixth day difference between the control and study group was not significantly different (P=0. 311 and P=1. 000 respectively). Conclusion: Placing the Gelfoam soaked in Dexamethasone into the extraction site has no efficacy on reduction of postoperative pain and swelling, and therefore we do not recommend this treatment modality for reduction of postoperative sequelae.

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APA: Copy

SHIRAFKAN, SAEED, Bavarsad Shahripour, Ali, & RAZAVI, MAHSHID. (2018). Effect of Gelfoam Soaked in Dexamethasone on Swelling, Bleeding, and Pain after Third Molars of Mandible Surgery. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, 17(4 ), 439-448. SID. https://sid.ir/paper/392606/en

Vancouver: Copy

SHIRAFKAN SAEED, Bavarsad Shahripour Ali, RAZAVI MAHSHID. Effect of Gelfoam Soaked in Dexamethasone on Swelling, Bleeding, and Pain after Third Molars of Mandible Surgery. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL[Internet]. 2018;17(4 ):439-448. Available from: https://sid.ir/paper/392606/en

IEEE: Copy

SAEED SHIRAFKAN, Ali Bavarsad Shahripour, and MAHSHID RAZAVI, “Effect of Gelfoam Soaked in Dexamethasone on Swelling, Bleeding, and Pain after Third Molars of Mandible Surgery,” JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, vol. 17, no. 4 , pp. 439–448, 2018, [Online]. Available: https://sid.ir/paper/392606/en

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