| Revue: | Revista ADM |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000362954 |
| ISSN: | 0001-0944 |
| Autores: | Flores Ramos, José María1 Aguilar Orozco, Saúl Germán2 Ochoa Zaragoza, María Guadalupe3 |
| Instituciones: | 1Universidad Autónoma de Nayarit, Unidad Académica de Odontología, Tepic, Nayarit. México 2Universidad Autónoma de Nayarit, Unidad Académica de Biología, Tepic, Nayarit. México 3Hospital Civil Dr. Antonio González Guevara, Servicio de Estomatología, Tepic, Nayarit. México |
| Año: | 2013 |
| Periodo: | Jul-Ago |
| Volumen: | 70 |
| Número: | 4 |
| Paginación: | 190-196 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental |
| Resumen en español | mostró un mayor efecto antiin fl amatorio respecto de de fl a- zacort, ya que se encontraron diferencias estadísticamente significativas y lo mismo ocurrió en la prevención del trismo a lo largo del tratamiento |
| Resumen en inglés | Retained thir d-molar surgery is a relatively common pro- cedure in oral surgery. The most important consequences of this surgical procedure are pain, swelling, and trismus, all of which can be treated with both non-steroidal anti-in fl ammatory painkillers and steroidal anti- in fl ammatory drugs. Aim: To compare the ef fi cacy of betamethasone to that of de fl azacort in reducing in fl ammation and trismus in retained lower third-molar surgery. Material and methods: Two experimental groups were formed. Each was treated with either betamethasone or de fl azacort prior to undergoing third-molar surgery. 11.4 mg of betamethasone was administered intramuscularly to 24 patients in a single dose; meanwhile, 21 others were orally administered 30 mg of de fl azacort, in both cases one hour prior to surgery and then once daily for a period of seven days. Clinical inspection of extraoral tissues was performed to assess in fl am- mation, whilst trismus was analyzed by measuring interincisal distance and comparing the changes that had taken place since day one. Results: None of the patients treated with betamethasone displayed any severe in fl ammation. 45.8% showed mild in fl ammation, 16.7% moderate in fl am- mation, and 37.5% zero in fl ammation. All of the subjects treated with de fl azacort showed varying degrees of in fl ammation: 52.4% mild, 42.8% moderate, and 4.8% severe. The χ 2 test revealed signi fi cant differences between the two treatments in terms of both in fl ammation and trismus. The differences in trismus became apparent on the day after surgery only. The results showed no signi fi cant differences in terms of the duration of the in fl ammation. Conclusions: Treatment with betamethasone was found to have a greater anti-in flammatory effect than that of de fl azacort, based on the statistically signi fi cant differences found; throughout the treatment, the same was true as regards the prevention of trismus |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Farmacología, Odontología, Tercer molar, Inflamación, Trismus, Glucocorticoides, Deflazacort, Betametasona, Antiinflamatorios |
| Keyword: | Medicine, Dentistry, Pharmacology, Surgery, Third molars, Inflammation, Trismus, Glucocorticoids, Deflazacort, Betamethasone, Antiinflammatory agents |
| Texte intégral: | Texto completo (Ver PDF) |
