Abstract
Purpose: To compare the effect of intramuscular administration of dexamethasone versus Traumeel S® on patients' oral health-related quality of life (OHRQoL) after surgical extraction of impacted lower third molars (3M). Patients and methods: A randomized, triple-blinded clinical trial was conducted. The sample was composed of 17 patients with asymptomatic bilateral lower 3M positioned as class IIB according to the Pell and Gregory classification. The patients were randomly assigned into 2 groups: intramuscular dexamethasone or Traumeel S®. The OHRQoL was assessed using the Oral Health Impact Profile (OHIP) version 14. It was considered patients' perception regarding different quality of life dimensions, in the first seven postoperative days. Results: There was a significant OHRQoL improvement in the dexamethasone group when compared to Traumeel S® group. It was noted a significant decrease of psychological disability and psychological discomfort in patients receiving dexamethasone vs those receiving Traumeel S®. Conclusion: Intramasseteric injection of dexamethasone showed a greater improvement of the OHRQoL following 3M surgeries when compared to Traumeel S® injection.
Highlights
Quality of life (QoL) is a multidimensional concept that involves the patient ability to accomplish daily activities (Galvão et al, 2018; Sancho-Puchades et al, 2012)
The present study shows the QoL results of this comparison
The patients who had their third molar extracted and were treated with Traumeel S® (23.05±11.46) experienced worse QoL than baseline values (10.05±6.10), p
Summary
Quality of life (QoL) is a multidimensional concept that involves the patient ability to accomplish daily activities (Galvão et al, 2018; Sancho-Puchades et al, 2012). The QoL assessment consists of questionnaires aiming to measure the efficacy and efficiency of treatments This measurement is based on physical, psychological, and social aspects in each individual’s life. Third molar surgical removal is a common procedure in dentistry because of its high impaction prevalence This tooth extraction is indicated when there are pathologies associated with its presence such as caries (Falci et al, 2012), pericoronitis (Galvão et al, 2019), cysts, and tumors (Mello et al, 2019). Lower third molar (L3M) surgeries can lead to high postoperative inflammatory consequences such as pain, swelling, and trismus These postoperative inflammatory parameters can disable the patients, compromising their quality of life in the early postoperative days
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