Effects of Different Routs of Dexamethasone Administration on the Complications after Surgical Removal of Impacted Mandibular Third Molar

Mandibular third molar surgery is one of the most common oral surgeries in which pain and swelling is a common finding. The purpose of this study is to compare pain and swelling after Surgical Extraction of Mandibular Third Molar in dexamethasone Injection to Medial pterygoid muscle, gluteal muscle & without Corticosteroid Method.
Materials & This study was a clinical trialon77patients with impacted mandibular third molar attending the School’s oral and maxillofacial department. Patients were randomlydivided into 3 groups: The first group did not receive any corticosteroid, The second group receive 8 mg dexamethasone in gluteal muscle after surgery and in third group 8 mg dexamethasone was injected to medial ptrygoidpreoperativly. The pain and swelling was measured48 hoursand7 daysaftersurgery. Datas were first analyzed by the Kruskal–Wallis and ANOVA tests, followed by the Mann–Whitney test (p value Both groups received dexamethasone in gluteal muscle or inmedialptrygoidhad significantlylesspain (p value Injection of dexamethasone in medial pterygoid muscle is effective in reducing post operative pain and swelling and its effects are comparable with systemic injection in the gluteal muscle.