Effectivness of submucosal, oral and intramuscular routs of dexamethasone administration in trismus, swelling and pain reduction after the third lower molar surgery

Background/Aim. Surgical extraction of impacted lower third molars is inevitably followed by the postoperative occurrence trismus, swelling, and pain sensations to some degree. Corticosteroids (dexamethasone in particular) are commonly used drugs prevention these complications. The aim this study was determine effectiveness dexamethasone complications, edema, after surgical molars, depending on method its administration. Methods. This prospective involved 30 healthy patients, aged 18 years above, both sexes, with fully molar ? class I or II position B C, according Pell Gregory classification system vertical Winter classification. All patients were divided randomly into three groups de-pending way administration: oral administered form tablets a dose 4 mg one hour before surgery; submucosal solution submucosally area buccal sulcus, inferior alveolar nerve block anesthesia additional for nerve; intramuscular intramuscularly 4mg deltoid muscle, right intervention. Preoperatively at every follow-up (on first, second, seventh day postoperatively), interincisal distance, degree level use visual analog scale (VAS) measured. On day, total number analgesics taken recorded. Results. In period, there no statistically significant difference be-tween examined terms reduction (p > 0.05). Conclusion. There surgery, regarding route administration oral, intramuscular, local submucosal.