Role of intravascular methylprednisolone in surgical impaction

Abstract

Introduction: Mandibular impacted third molar surgical extraction may cause pain, trismus and swelling. Hence in this study we aim to evaluate the effect of methylprednisolone injection into the muscles on pain edema and trismus post third molar impaction. Material and Methods: We injected methylprednisolone acetate into the masseter muscle via the intrabuccal approach, one hour before the surgery and immediately after suturing of the surgical wound, among the 100 subjects divided to two groups as case and controls, we evaluated postoperative pain, trismus and swelling. The numeric pain scale (NPS) was used for pain assessment. Results: we observed that superior results in preoperative group for mouth opening, pain and all the facial swelling parameters, they were also statistically significant differences than when the postoperatively administered methylprednisolone acetate. Conclusions: Preoperative administration of the methylprednisolone is more effective in reducing pain, trismus and swelling, when compared to that administered postoperatively.