Year : 2016

Volume : Volume 6

Issue : Issue 2

Address for correspondence :
Dr. Joy R Das
drjoy303@gmail.com

Abstract

Background:  Surgical removal of impacted tooth is one of the common proceduresdone by oral and maxillofacial surgeons in their day to day practice. Surgical removal of impacted tooth produces swelling, pain and trismus post operatively. Corticosteroids have been used in effectively reducing these post operative sequelae after surgical removal of impacted third molars. Various doses and types of steroids are used. Here a systematic search of literature was carried out using various doses, types and routes of administration of steroids in mandibular third molar impaction as key words. Only most relevant articles were included (n= 24). Administration of corticosteroids improves the postoperative experience of patients and has a significant impact on trismus and inflammation. Dosage of steroids should be more than the physiological amount produced in body. The duration of action of the steroid administered also affects the results. Long acting steroids give better results than short acting one. If short acting steroids are given they have to be supplemented for a minimum of 2 days to a maximum of 5 days. Preoperative administration of steroids is found to be more effective than post operative administration. Submucosal administration of steroids produces similar effects to IV and IM routes.

Keywords: Steroid, Third Molar Impacted Tooth, Route of Administration of Steroids, chymotrypsin.