EFFECT OF CO-ADMINISTERED PREDNISOLONE AND DICLOFENAC POTASSIUM IN REDUCING POSTOPERATIVE TRISMUS AFTER IMPACTED LOWER THIRD MOLAR SURGERY.

Authors

  • Zahid Qayyum Oral and Maxillofacial Surgery Department, Khyber Girls Medical College, Hayatabad, Peshawar, Pakistan
  • Zafar Ali khan Oral and Maxillofacial Surgery Department, College of Dentistry, University of Jouf, KSA
  • Fahimuddin Oral and Maxillofacial Surgery, Khyber Girls Medical College, Hayatabad, Peshawar, Pakistan
  • Prof Muhammad Saeed Bakhtawar Amin Medical College, Mattital road northern Bypass, Multan, Pakistan
  • Muhammad Ishfaq King Khalid University College of Dentistry, Abha, KSA.
  • Khadim Shah Oral and Maxillofacial Surgery, Khyber Girls Medical College, Hayatabad, Peshawar, Pakistan

DOI:

https://doi.org/10.33279/jkcd.v11i01.172

Keywords:

Lower mandibular third molar , Prednisolone, Diclofenac Potassium, postoperative trismus, Preemptive analgesia

Abstract

Objective:

To determine the effect of adding a combination of oral Diclofenac Potassium with an intramuscular dose of Prednisolone preoperatively to minimize postoperative trismus after the surgical removal of the lower third molar tooth.

Materials and Methods:

A total of 160 patients undergoing surgical removal of their impacted lower third molar tooth were randomized into 2experimental groups; Group A (50mg Diclofenac Potassium oral and 40mg Prednisolone administered intramuscularly one hour before surgery) and Group B (40mg of intramuscular Prednisolone administered one hour before surgery). In this randomized control trial,both groups were prescribed the combination of Paracetamol and codeine as analgesics postoperatively for 48 hours. The maximum inter incisal distance was measured immediately before and 48 hours after surgery.

Results:

Mean preoperative maximum inter incisial opening in Group A and Group B were 48.28±5.12 and 47.51±5.18 respectively. On postoperative second day the Mean maximum inter incisial opening in Group A was 34.49±3.73mm when compared to 27.71±5.48 in Group B. The mean postoperative trismus in Group A and Group B were 13.79±6.39mm and 19.95±7.07mm respectively. The mean difference in post operative trismus was 6.160mm which was statistically significant at a 99% confidence interval (p<0.01).

Conclusion:

Preemptive medication with a combination of Prednisolone-Diclofenac Potassium was more effective in reducing postoperative trismus compared to Prednisolone alone.

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Published

2021-03-31

How to Cite

Zahid Qayyum, Zafar Ali khan, Fahimuddin, Prof Muhammad Saeed, Muhammad Ishfaq, & Khadim Shah. (2021). EFFECT OF CO-ADMINISTERED PREDNISOLONE AND DICLOFENAC POTASSIUM IN REDUCING POSTOPERATIVE TRISMUS AFTER IMPACTED LOWER THIRD MOLAR SURGERY. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 11(01), 68–71. https://doi.org/10.33279/jkcd.v11i01.172

Issue

Vol. 11 No. 01 (2021): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2021 Zahid Qayyum, Zafar Ali khan, Fahimuddin, Prof Muhammad Saeed, Muhammad Ishfaq, Khadim Shah

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