Evaluation Effect Dexamethason and Paracetamol Post-Odontectomy 38 with Impaction IA Mesioangular
DOI:
https://doi.org/10.18196/imunity.v1i1.10Keywords:
Impaction, odontectomy, dexamethasone, paracetamolAbstract
Introduction: Impacted teeth are a pathological situation where a tooth cannot or will not erupt into normal functional position. Odontectomy is one of the most frequently performed procedures and an invasive procedure that involves extensive tissue trauma and a considerable postoperative inflammatory response. However, to achieve adequate pain relief, monotherapy is difficult and multimodal analgesia is now accepted as the cornerstone of effective pain treatment. Objective: This case report was written with the aim of evaluating the effects of dexamethasone combined with paracetamol in post-operative patients. Case Report: A 24 year old male patient came complaining that his lower left, rearmost teeth often had food stuck in them and were difficult to clean. Patient complaints since 1 year ago and said it was difficult to clean the area even with a toothbrush. The patient wants the tooth to be removed immediately. On objective examination, there were 38 mesioangular impacted teeth with percussion (-), palpation (-), sondation (-), and vitality (+). On supporting examination, it could be seen that there was 38 class IA mesioangular impacted teeth. Result: An odontectomy was carried out on the impacted tooth 38 with a trapezium flap design and post-operative medication was given in the form of amoxicillin, dexamethasone, paracetamol and multivitamins. Control after 7 days of odontectomy to see the effectiveness of the medication given. Conclusion: The use of corticosteroids in the form of dexamethasone combined with paracetamol provides a shorter edema effect and adequate pain relief after surgery
References
Hashemipour, M. A., Tahmasbi-Arashlow, M., & Fahimi-Hanzaei, F. (2013). Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population. Medicina oral, patologia oral y cirugia bucal, 18(1), e140
Lima, T. C., Bagordakis, E., Falci, S. G. M., Dos Santos, C. R. R., & Pinheiro, M. L. P. (2018). Pre-emptive effect of dexamethasone and diclofenac sodium associated with codeine on pain, swelling, and trismus after third molar surgery: a split-mouth, randomized, triple-blind, controlled clinical trial. Journal of Oral and Maxillofacial Surgery, 76(1), 60-66.
Alcântara, C. E. P., Falci, S. G. M., Oliveira-Ferreira, F., Santos, C. R. R., & Pinheiro, M. L. P. (2014). Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: a split-mouth randomized triple-blind clinical trial. International journal of oral and maxillofacial surgery, 43(1), 93-98.
Mudjono, H., & Rahajoe, P. S. (2020). The effect of triangular and reversed triangular flap designs to post third molar odontectomy complications (a pilot study). Journal of clinical and experimental dentistry, 12(4), e327.
Núñez-Díaz, D., Chumpitaz-Cerrate, V., Chávez-Rimache, L., & German-Santa Cruz, L. (2019). Comparison of the anti-inflammatory effectiveness of dexamethasone as pre-surgical and post-surgical therapy in mandibular third molar surgery: A randomized clinical trial. Journal of Oral Research, 8(6), 463-470.
Gay-Escoda, C., Hanna, M., Montero, A., Dietrich, T., Milleri, S., Giergiel, E., ... & Varrassi, G. (2019). Tramadol/dexketoprofen (TRAM/DKP) compared with tramadol/paracetamol in moderate to severe acute pain: results of a randomised, double-blind, placebo and active-controlled, parallel group trial in the impacted third molar extraction pain model (DAVID study). BMJ open, 9(2), e023715.
Shimodaira, T., Mikoshiba, S., & Taguchi, T. (2019). Nonsteroidal anti-inflammatory drugs and acetaminophen ameliorate muscular mechanical hyperalgesia developed after lengthening contractions via cyclooxygenase-2 independent mechanisms in rats. Plos one, 14(11), e0224809.
Laory, J., Kadarsah, R. K., & Indriasari, I. (2021). Perbandingan Kombinasi Parasetamol dan Deksametason dengan Deksametason Praoperasi untuk Mengurangi Angka Kejadian Nyeri Tenggorok Pascaanestesi Umum. Jurnal Anestesi Perioperatif, 9(3), 174-181.
Eroglu, C. N., Durmus, E., & Kiresi, D. (2014). Effect of low-dose dexketoprofen trometamol and paracetamol on postoperative complications after impacted third molar surgery on healthy volunteers: A pilot study. Medicina Oral, Patología Oral y Cirugía Bucal, 19(6), e622.
