Assessment of post-operative pain, swelling and trismus following mandibular third molar extraction after local administration of dexamethasone - a retrospective study

Post-operative pain and swelling is one of the common complications following mandibular third molar surgery leading to very disturbing days immediately following third molar extraction. On considering the impact of such post-operative sequelae on the patient’s quality of life, it is necessary to exercise preventive measures to minimize the occurrence of such complications / untoward events. Although many retractors are already in application for retraction of tissues during the third molar extraction, this manuscript describes an innovative multifunctional concept “Nyer Zet-ractor” designed for retraction and isolation without limiting the accessibility to the surgical area in mandibular third molar surgery. The “Nyer Zet-ractor” described in this manuscript is an innovative device which provides the advantages like clear access, continuous visibility and excellent isolation of the surgical site unlike conventional retractors with minimal retractive forces thereby reducing post-operative pain and swelling. Nyer Zet-ractor implements a multifunctional concept of retraction making it an efficient, easy to use, and exerts a known and finite amount of force, thereby avoiding tissue damage.

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Effect of dexamethasone using two doses to evaluate postoperative trismus in the patients after impacted mandibular third molar extraction

European Journal of Oral and Maxillofacial Surgery ◽

10.23736/s2532-3466.19.00177-2 ◽

2019 ◽

Vol 3 (3) ◽

Author(s):

Rozi Afsar ◽

Tahir U. Khan ◽

Muhammad Ishfaq ◽

Sana Wazir ◽

Syed A. Shah ◽

...

Keyword(s):

Third Molar ◽

Third Molar Extraction ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Molar Extraction

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Effect of Age, Gender, Side and Impaction Types on Surgical Difficulty During Mandibular Third Molar Extraction.

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v17i2.18950 ◽

2018 ◽

Vol 17 (2) ◽

pp. 11

Author(s):

Krishna Gopal Bhuju ◽

Sujita Shrestha ◽

Riwaj Karki ◽

Sameer Aryal

Keyword(s):

Third Molar ◽

Objective Measure ◽

Operation Time ◽

Significance Level ◽

Third Molar Extraction ◽

Mandibular Third Molar ◽

Duration Of Surgery ◽

Surgical Difficulty ◽

Effect Of Age ◽

Molar Extraction

Aim: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.Methods: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.Results: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where p value is 0.043 0.048 respectively.Conclusion: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation.

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