Efficacy of single dose intramuscular methylprednisolone injection into the masseter muscle following the surgical extraction of impacted lower third molars.

Sathiyanathan D; Vivek Nair; Sankar K; Eswari N; Anusuya N

doi:10.21276/ujds.2022.8.2.3

Sathiyanathan D Senior Lectures, Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai
Vivek Nair Assistant Professor, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Pune
Sankar K Professor and Head of Department , Department Of Oral and Maxillofacial Surgery Mahatma Gandhi Postgraduate Institute Of Dental Sciences, Pondicherry.
Eswari N Professor, Department Of Oral and Maxillofacial Surgery Mahatma Gandhi Postgraduate Institute Of Dental Sciences, Pondicherry.
Anusuya N Resident, Mahatma Gandhi Postgraduate Institute Of Dental Sciences, Pondicherry.

DOI: https://doi.org/10.21276/ujds.2022.8.2.3

Keywords: Corticosteroids, Impacted third molars, Methylprednisolone, Masseter muscle

Abstract

Aim and Objectives: The clinical study was conducted to evaluate the effect of a single 40 mg dose of methylprednisolone into the masseter muscle via the intrabuccal approach following the surgical extraction of impacted lower third molars under local anesthesia.

Materials and Methods: In this single center, prospective, randomized controlled, double blind study 100 participants were divided into 2 groups. The study group received a single dose of Inj Methylprednisolone 40mg into the masseter muscle via the intrabuccal approach postoperatively, while the control received an I.M placebo drug. The efficacy of this procedure in controlling typical post-operative complications (pain, swelling, and mouth opening) was evaluated.

Results: The patients administered methylprednisolone showed superior results after 2 and 5 days in terms of facial swelling (p < 0.05) and on 5^th day after intervention with a p-value of 0.008 in terms on pain.

Conclusion: Results obtained showed that 40 mg of Methylprednisolone can effectively reduce the patient discomfort post operatively after surgical removal of impacted teeth.

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