A Clinical Study on therapeutic effect of preoperative oral prednisolone on clinical postoperative symptoms after surgical extractions of mandibular third molars

Dr Mohammed Israr Ul Khaliq; Dr Syed Wakeel

Volume : VII, Issue : VII, July - 2017

A Clinical Study on therapeutic effect of preoperative oral prednisolone on clinical postoperative symptoms after surgical extractions of mandibular third molars

Dr Mohammed Israr Ul Khaliq, Dr Syed Wakeel

Abstract :

Aim: The purpose of this study was to evaluate the preoperative therapeutic effect of oral 20 mg prednisolone on post operative complications like edema, limited mouth opening and pain following third molar surgery .

Material & methods: Hundred patients with bilateral mandibular third molar impacted teeth were included in this study. One side of the patient last mandibular molar either right or left was allocated randomly as control and the other side as study group. Study group received 20mg prednisolone one hour before surgical extraction. Facial edema and maximal inter incisal distance were measured preoperatively , at 3^rd and 5th postoperative days. Pain was measured from the patients’ response to a visual analogue scale.

Results: The steroid group showed significant reduction in edema and pain compared with the control group at all intervals. 20mg prednisolone resulted in significantly less limited mouth opening than controls on day 3 postoperatively but there was no significant difference among the groups afterwards.

Conclusion:Steroid is effective in reducing edema, limited mouth opening and pain after extraction of impacted mandibular molar teeth.