Comparing the Effect of Facial Compression Bandage to That of Systemic Dexamethasone on Postsurgical Sequels after Extraction of Impacted Mandibular Third Molars: A Split-mouth Randomized Clinical Trial
Keywords:Impaction, Compression therapy, Facial garment, Swelling, Pain, Trismus
AIM: The present study aimed to compare the clinical efficiency of facial pressure bandage, to that of intramuscular injection of dexamethasone (8 mg) on postsurgical sequels (swelling, pain, and trismus) of extraction of impacted mandibular third molar.
METHODS: The study implemented a randomized split-mouth design. Patients with symmetrical bilateral impacted molars were eligible for the present trial. Sides were randomly assigned to two groups: pressure bandage group and dexamethasone group. The evaluated postsurgical sequels were extraoral swelling, trismus, and pain after 48 h and 7 days.
RESULTS: The study included 42 impacted third molars (n = 42) in 21 patients with a mean age of 23.4 years. Most participants were females (66.7%). The mean postoperative swelling rates after 48 h and 7 days in pressure bandage group were found to be comparable to those of dexamethasone group. No significant difference was found in the mean rates of postoperative trismus between study groups after 48 h and 7 days. Differences in mean pain level scores between the pressure bandage group and dexamethasone group were statistically insignificant after 48 h and 7 days.CONCLUSION: The study findings showed that the effect of the pressure bandage was comparable to dexamethasone effect on the postsurgical sequels after surgical extraction of impacted mandibular third molars.
Plum Analytics Artifact Widget Block
Mawardi H, Ghazalh S, Shehatah A, Abdelwahid A, Aljohani A, Felemban O, et al. Systemic use of arnica Montana for the reduction of postsurgical sequels following extraction of impacted mandibular 3rd molars: A pilot study. Evid Based Complement Alternat Med. 2020;2020:6725175. https://doi.org/10.1155/2020/6725175 DOI: https://doi.org/10.1155/2020/6725175
Kim JC, Choi SS, Wang SJ, Kim SG. Minor complications after mandibular third molar surgery: Type, incidence, and possible prevention. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(2):e4-11. https://doi.org/10.1016/j.tripleo.2005.10.050 PMid:16876044 DOI: https://doi.org/10.1016/j.tripleo.2005.10.050
Al-Khanati NM, Al-Moudallal Y. Effect of intrasocket application of manuka honey on postsurgical pain of impacted mandibular third molars surgery: Split-mouth randomized controlled trial. J Maxillofac Oral Surg. 2019;18(1):147-52. https://doi.org/10.1007/s12663-018-1142-z PMid:30728706 DOI: https://doi.org/10.1007/s12663-018-1142-z
Tiigimae-Saar J, Leibur E, Tamme T. The effect of prednisolone on reduction of complaints after impacted third molar removal. Stomatologija. 2010;12(1):17-22. PMid:20440092
Ngeow WC, Lim D. Do corticosteroids still have a role in the management of third molar surgery? Adv Ther. 2016;33(7):1105-39. https://doi.org/10.1007/s12325-016-0357-y PMid:27287853 DOI: https://doi.org/10.1007/s12325-016-0357-y
Harirforoosh S, Asghar W, Jamali F. Adverse effects of nonsteroidal antiinflammatory drugs: An update of gastrointestinal, cardiovascular and renal complications. J Pharm Pharm Sci. 2013;16(5):821-47. https://doi.org/10.18433/j3vw2f PMid:24393558 DOI: https://doi.org/10.18433/J3VW2F
Buchman AL. Side effects of corticosteroid therapy. J Clin Gastroenterol. 2001;33(4):289-94. PMid:11588541 DOI: https://doi.org/10.1097/00004836-200110000-00006
Hassan B, Al-Khanati NM, Bahhah H. Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial. Med Oral Patol Oral Cir Bucal. 2020;25(5):e660-7. https://doi.org/10.4317/medoral.23666 PMid:32683384 DOI: https://doi.org/10.4317/medoral.23666
de Carvalho RW, Vasconcelos BC. Pernambuco index: Predictability of the complexity of surgery for impacted lower third molars. Int J Oral Maxillofac Surg. 2018;47(2):234-40. https://doi.org/10.1016/j.ijom.2017.07.013 PMid:28818641 DOI: https://doi.org/10.1016/j.ijom.2017.07.013
Ghavimi MA, Arta A, Zadeh AG, Hashemi M, Yazdeni J, Mohammadi SH. The effect of the pressure bandage use in varying the pain and swelling after lower third molar surgery. Int J Curr Res Aca Rev. 2014;2(9):135-40.
Cunha-Cruz J, Rothen M, Spiekerman C, Drangsholt M, McClellan L, Huang GJ, Northwest Practice-Based Research Collaborative in Evidence-Based Dentistry. Recommendations for third molar removal: A practice-based cohort study. Am J Public Health. 2014;104(4):735-43. https://doi.org/10.2105/ajph.2013.301652 PMid:24524519 DOI: https://doi.org/10.2105/AJPH.2013.301652
Patil C, Jadhav A, Rajanikanth K, Bhola N, Borle RM, Mishra A. Piezosurgery vs bur in impacted mandibular third molar surgery: Evaluation of postoperative sequelae. J Oral Biol Craniofac Res. 2019;9(3):259-62. https://doi.org/10.1016/j.jobcr.2019.06.007 PMid:31249772 DOI: https://doi.org/10.1016/j.jobcr.2019.06.007
Sulaiman F, Al-Khanati NM, Brad B, Jumaa R. Evaluating glycemic response to lidocaine with two different vasoconstrictors in diabetic patients undergoing tooth extraction: Crossover randomized clinical study. Int J Pharm Res. 2021;13(1):702-6. https://doi.org/10.31838/ijpr/2021.13.01.122 DOI: https://doi.org/10.31838/ijpr/2021.13.01.122
Xiang X, Shi P, Zhang P, Shen J, Kang J. Impact of platelet-rich fibrin on mandibular third molar surgery recovery: A systematic review and meta-analysis. BMC Oral Health. 2019;19(1):163. https://doi.org/10.1186/s12903-019-0824-3 PMid:31345203 DOI: https://doi.org/10.1186/s12903-019-0824-3
Bhati B, Kukreja P, Kumar S, Rathi VC, Singh K, Bansal S. Piezosurgery versus rotatory osteotomy in mandibular impacted third molar extraction. Ann Maxillofac Surg. 2017;7(1):5-10. PMid:28713729
Cicciù M, Stacchi C, Fiorillo L, Cervino G, Troiano G, Vercellotti T, et al. Piezoelectric bone surgery for impacted lower third molar extraction compared with conventional rotary instruments: A systematic review, meta-analysis, and trial sequential analysis. Int J Oral Maxillofac Surg. 2021;50(1):121-31. https://doi.org/10.1016/j.ijom.2020.03.008 PMid:32284166 DOI: https://doi.org/10.1016/j.ijom.2020.03.008
Klongnoi B, Kaewpradub P, Boonsiriseth K, Wongsirichat N. Effect of single dose preoperative intramuscular dexamethasone injection on lower impacted third molar surgery. Int J Oral Maxillofac Surg. 2012;41(3):376-9. https://doi.org/10.1016/j.ijom.2011.12.014 PMid:22209181 DOI: https://doi.org/10.1016/j.ijom.2011.12.014
Latt MM, Kiattavorncharoen S, Boonsiriseth K, Pairuchvej V, Wongsirichat N. The efficacy of dexamethasone injection on postoperative pain in lower third molar surgery. J Dent Anesth Pain Med. 2016;16(2):95-102. https://doi.org/10.17245/jdapm.2016.16.2.95 PMid:28879301 DOI: https://doi.org/10.17245/jdapm.2016.16.2.95
Martins-de-Barros AV, Barros AM, Siqueira AK, Lucena EE, Sette de Souza PH, Araújo FA. Is dexamethasone superior to Ketorolac in reducing pain, swelling and trismus following mandibular third molar removal? A split mouth triple-blind randomized clinical trial. Med Oral Patol Oral Cir Bucal. 2021;26(2):e141-50. https://doi.org/10.4317/medoral.24088 PMid:33247572 DOI: https://doi.org/10.4317/medoral.24088
Matthews CN, Chen AF, Daryoush T, Rothman RH, Maltenfort MG, Hozack WJ. Does an elastic compression bandage provide any benefit after primary TKA? Clin Orthop Relat Res. 2019;477(1):134-44. https://doi.org/10.1097/corr.0000000000000459 PMid:30794237 DOI: https://doi.org/10.1097/CORR.0000000000000459
Yu GV, Schubert EK, Khoury WE. The Jones compression bandage. Review and clinical applications. J Am Podiatr Med Assoc. 2002;92(4):221-31. PMid:11961089 DOI: https://doi.org/10.7547/87507315-92-4-221
Ye K, Wang R, Qin J, Yang X, Yin M, Liu X, et al. Post-operative benefit of compression therapy after endovenous laser ablation for uncomplicated varicose veins: A randomised clinical trial. Eur J Vasc Endovasc Surg. 2016;52(6):847-53. https://doi.org/10.1016/j.ejvs.2016.09.005 PMid:27760697 DOI: https://doi.org/10.1016/j.ejvs.2016.09.005
Ristow O, Hohlweg-Majert B, Kehl V, Koerdt S, Hahnefeld L, Pautke C. Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? J Oral Maxillofac Surg. 2013;71(8):1387-96. https://doi.org/10.1016/j.joms.2013.03.020 PMid:23676774 DOI: https://doi.org/10.1016/j.joms.2013.03.020
Partsch H. Compression therapy: Clinical and experimental evidence. Ann Vasc Dis. 2012;5(4):416-22. PMid:23641263 DOI: https://doi.org/10.3400/avd.ra.12.00068
Szolnoky G, Szendi-Horváth K, Seres L, Boda K, Kemény L. Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology. 2007;40(3):138-42. PMid:18062616
How to Cite
Copyright (c) 2021 Ibraheem Hamadi, Nuraldeen Maher Al-Khanati, Zafin Kara Beit (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.