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La betametasona (fosfato sódico + acetato) previene la inflamación y el trismo en la cirugía del tercer molar inferior retenido. Glucocorticoides en cirugía del tercer molar
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ramos, José María Flores Orozco, Saúl Germán Aguilar Zaragoza, María Guadalupe Ochoa |
| Copyright Year | 2013 |
| Abstract | Background: Retained third-molar surgery is a relatively common procedure in oral surgery. The most important consequences of this surgical procedure are pain, swelling, and trismus, all of which can be treated with both non-steroidal anti-infl ammatory painkillers and steroidal antiinfl ammatory drugs. Aim: To compare the effi cacy of betamethasone to that of defl azacort in reducing infl ammation and trismus in retained lower third-molar surgery. Material and methods: Two experimental groups were formed. Each was treated with either betamethasone or defl azacort prior to undergoing third-molar surgery. 11.4 mg of betamethasone was administered intramuscularly to 24 patients in a single dose; meanwhile, 21 others were orally administered 30 mg of defl azacort, in both cases one hour prior to surgery and then once daily for a period of seven days. Clinical inspection of extraoral tissues was performed to assess infl ammation, whilst trismus was analyzed by measuring interincisal distance and comparing the changes that had taken place since day one. Results: None of the patients treated with betamethasone displayed any severe infl ammation. 45.8% showed mild infl ammation, 16.7% moderate infl ammation, and 37.5% zero infl ammation. All of the subjects treated with defl azacort showed varying degrees of infl ammation: 52.4% mild, 42.8% moderate, and 4.8% severe. The χ2 test revealed signifi cant differences between the two treatments in terms of both infl ammation and trismus. The differences in trismus became apparent on the day after surgery only. The results showed no signifi cant differences in terms of the duration of the infl ammation. Conclusions: Treatment with betamethasone was found to have a greater anti-infl ammatory effect than that of defl azacort, based on the statistically signifi cant differences found; throughout the treatment, the same was true as regards the prevention of trismus. |
| Starting Page | 190 |
| Ending Page | 196 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| Volume Number | 70 |
| Alternate Webpage(s) | http://www.medigraphic.com/pdfs/adm/od-2013/od134f.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
