Efficacy of Intraoperative Intramuscular Dexamethasone in Oral Surgery vs NSAIDs

Abstract

To analyze the impact of the effectiveness of intraoperative intramuscular dexamethasone in order to reduce the postsurgical inflammatory process in third molars. Corticosteroids began in 1885 when Thomas Addison in 1855 described the systemic behavior of melanoderma and its relationship with the adrenal glands. They were later used for various pathologies in the area of ​​medicine and are currently used in dentistry to inhibit the post-surgical inflammatory process. A prospective, descriptive, cross-sectional study was carried out using dexamethasone and NSAIDs to inhibit the inflammatory process, being compared on the VAS scale in 16 patients. Resulting in a decrease in the inflammatory process with a discrepancy in the mouth opening of 0.1mm initially, at two weeks of 1.3mm and at 3 weeks of 1.1mm. A clinical case of a 16-year-old female patient who attended the Mexican Center for Stomatology Campus Morelia is presented. In order to undergo surgery to remove third molars and undergo intramuscular infiltration in the masseter muscle with dexamethasone 4mg/IM. Dexamethasone prevents the production of the inflammatory process when it is applied in a timely manner intramuscularly. Since the patients stated that they did not feel pain, they felt a faster recovery compared to patients who consumed NSAIDs.