20May 2017

COMPARATIVE EFFICACY OF DEXAMETHASONE WITH LOCAL ANESTHETIC SOLUTION AND 2 percent LIGNOCAINE WITH 1:200000 ADRENALINE IN REDUCING POST-OPERATIVE DISCOMFORT IN PATIENTS OF SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR: A PROSPECTIVE RANDOMIZED STUDY.

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Introduction:- A prospective, randomized study was conducted to assess the efficacy of solution A (mixture of 1.8ml 2% lignocaine with 1:200000 adrenaline and 1 ml of dexamethasone) on the post-operative sequelae and compare it with 2% lignocaine with 1:200000 adrenaline in patients with need of surgical extraction of bilateral impacted mandibular teeth. Materials and methods:- A group of 40 patients with need of surgical extraction of bilateral impacted mandibular teeth were chosen for the study with a total of 80 interventions,40 with twin mix(study group A) and 40 with 2%lignocaine with 1:200000 adrenaline(group B)After injection of the anesthetic solution, the time to anesthetic effect, duration of anesthesia, and the need to re-anesthetize the surgical site were recorded. Overall pain intensity and pH of the test anesthetic solutions was also determined. Post operative pain, swelling and mouth opening was measured at 1st,3rd and 7th day post-operatively. The results obtained were compared using student-t test. Results:- On comparative evaluation between control group B and study group A, patients in the control group had more severe intra-operative and post-operative sequelae. Discussion:- The post ? operative sequelae namely swelling, pain and reduced mouth opening was less in the side given 4 mg dexamethasone along with the local anesthetic solution than local anesthesia alone. Also there was a significant improvement in the time of onset and the time duration of local anesthesia.

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[Udit Prakash, NitinJaggi, Nikhil Purohit, MoinIftikhar Shapoo and Ranjan Chauhan. (2017); COMPARATIVE EFFICACY OF DEXAMETHASONE WITH LOCAL ANESTHETIC SOLUTION AND 2 percent LIGNOCAINE WITH 1:200000 ADRENALINE IN REDUCING POST-OPERATIVE DISCOMFORT IN PATIENTS OF SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR: A PROSPECTIVE RANDOMIZED STUDY. Int. J. of Adv. Res. 5 (May). 630-634] (ISSN 2320-5407). www.journalijar.com

DR. UDIT PRAKASH

DOI:

Article DOI: 10.21474/IJAR01/4156      
DOI URL: https://dx.doi.org/10.21474/IJAR01/4156

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