Abstract

MARLIERE, Daniel Amaral Alves; LANINI, Leonardo Freire; BITTENCOURT, Thaís Camargo  and  ASSIS, Neuza Maria Souza Picorelli. Combination therapeutic dexamethasone and meloxicam in inflammatory controlafter third molars surgery. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2015, vol.15, n.4, pp. 15-24. ISSN 1808-5210.

This Corticosteroids and anti-inflammatory non-steroidal drugs have been used in the search control inflammation of patients submitted to dental surgery. The goalwastoevaluate the effect of exclusive use of dexamethasoneandcombinationofdexamethasoneandmeloxicam in control of edema, trismus and pain following the extraction of impacted third molars (3MI). Fifteen healthy patients with indication for removal third molars in symmetricalpositionswereselected, dividedbydrawlot in therapeuticgroups (GT). In group1 (GT1), received a single oral dose of dexamethasone 12 mg one hour before the surgical procedure; in group 2 (GT2), oral dose of dexamethasone 12 mg one hour beforesurgery, and oral dose of 15 mg of meloxicamimmediatelypostoperative oral, at 24, 48 e 72h following surgery. At 24, 48 and 72 h following surgery, swelling was determine dusing linear measurement son the face andtrismus, by maximal mouth opening. Postoperative pain was self-recorded by patientsusing a visual analoguescale (VAS). Data analysisinvolved t-studentte stand Levenetest (p <0.05). Edema measures and trismus showed no statistically significant differences. The combination the rapeuticresulted in less pain with statistically significant difference. In conclusion, both the rapieswerevalids in controlling edema andtrismus, and combination the rapeutic more effective in regardingpaincontrol.

Keywords : Oral surgery; Pain; Edema; Trismus; Anti-inflammatory..