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首页> 外文期刊>International journal of oral and maxillofacial surgery >Comparison of intraosseous and submucosal dexamethasone injection in mandibular third molar surgery: a split-mouth randomized clinical trial
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Comparison of intraosseous and submucosal dexamethasone injection in mandibular third molar surgery: a split-mouth randomized clinical trial

机译：下颌三磨牙手术中骨髓内塞和粘膜下塞米松的比较：分裂口随机性临床试验

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摘要

The objective of this study was to compare the effect of intraosseous dexamethasone injection and submucosal dexamethasone injection on postoperative sequelae after mandibular third molar surgery. This was a randomized, triple-blind, split-mouth clinical trial. Fifty-four mandibular third molars (27 patients) were subdivided according to the side (right and left); intraosseous injection of dexamethasone (4 mg) was randomly assigned to one side and submucosal injection to the other. All surgeries were performed by one surgeon. Postoperative pain was evaluated by visual analogue scale score immediately after surgery and on postoperative days 1, 3, and 7. Postoperative swelling (determined using two linear measurements) and mouth opening (determined by measurement of the inter-incisal distance) were assessed on postoperative days 3 and 7. The number of analgesics consumed was recorded. No significant difference in pain or swelling was found between the two injection techniques. However, there was significant difference in trismus on postoperative day 3, with submucosal injection showing a better outcome (P < 0.001). Both techniques of dexamethasone injection were effective in controlling pain and swelling after mandibular third molar surgery, but submucosal injection was superior for the control of trismus.
机译：本研究的目的是比较骨髓三种磨牙手术后术后后塞内酮注射和粘膜下塞米松注射液对术后后遗症的影响。这是一个随机的，三帘，分裂临床试验。根据侧面（左右）细分五十四个下颌第三磨牙（27名患者）;将肌内注射到另一侧和粘膜注射到另一侧。所有手术均由一个外科医生进行。通过在手术后立即和术后第1,3和7.术后第1,3和7.术后第1,3和7.术后，通过术后第1,3和7.术后进行评估术后疼痛，并在术后评估术后肿胀（使用两个线性测量测量）和口腔开口（通过测量切片间距离测定）第3天和7.记录所消耗的镇痛药数。两种注射技术之间发现了疼痛或肿胀的显着差异。然而，术后第3天的Trismus差异有显着差异，粘膜注射液显示出更好的结果（P <0.001）。脱矶可塞米松注射的两种技术都有效地控制下颌第三磨牙手术后的疼痛和肿胀，但粘膜注射液对Trismus的控制优越。

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