Clinical Evaluation of Impact of Dexamethasone When Administered Through Intramasseteric Route and Comparing the Same with Intramuscular (Deltoid) Route after Third Molar Surgery

Surgical removal impacted mandibular third molar is one of the most common surgical procedure undertaken in oral surgery Most of the patients encounter various post-operative problem like oedema, trismus and pain. Effect of steroids on these postoperative sequelae has been studied by many oral surgeons. In the present study, the effect of immediate post-operative intramasseteric 8 mg dexamethasone injection was evaluated over one week post-operative period and it was compared with intramuscular (deltoid) route. The statistical results showed that 8mg dexamethasone injection significantly reduced postoperative sequelae like trismus and swelling though effect on pain was not stastically significant. It was also found that there was no difference in two routes except that intramasseteric injection shows stastically significant swelling on third day and on the other hand it prevents second site of injection. It is concluded that post-operative intramasseteric 8 mg dexamethasone injection can be safely recommended for prevention of post-operative complications after impacted mandibular third molar surgery.