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Uso de corticosteroides na cirurgia do terceiro molar
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_35013 | 757.82 KB | Adobe PDF |
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Abstract(s)
O uso dos corticosteroides, na redução do edema, dor e trismo, associados às cirurgias de terceiros molares tem sido investigado nas últimas décadas. Este estudo revê os trabalhos publicados na última década, que relataram os efeitos da dexametasona e/ou metilprednisolona, no controlo dessas sequelas pós-operatórias. Foram incluídos 29 artigos, destes, 19 avaliaram a dexametasona, 8 a metilprednisolona e 2 compararam a eficácia destes dois fármacos. Da sua análise conclui-se que os corticosteroides são úteis na redução dos sintomas pós-operatórios, com redução significativa do edema e trismo, embora o seu papel no controlo da dor não esteja bem estabelecido. São usadas doses, vias de administração e posologias diferentes, tendo a administração única pré-operativa sido considerada mais eficaz e a administração submucosa uma via alternativa de eficácia comparável às outras vias e com vantagens como a fácil execução, não necessitando de habilidade extra, e de não depender da adesão do paciente.
The use of corticosteroids, in reducing edema, pain and trismus, in third molar surgeries has been researched in recent decades. This study reviews the published papers in the last decade, reporting the effects of dexamethasone and / or methylprednisolone on the control of post-operative sequelae. Were included 29 articles, of which 19 evaluated dexamethasone, 8 analyzed methyl-prednisolone and two compared the effectiveness of the two drugs. of their analysis it was concluded that corticosteroids are useful in reducing post-operative symptoms, with a significant reduction of edema and trismus, although their role in pain control is not well established. Different doses, routes of administration and dosages are used, with the single preoperative administration being considered more effective and submucosal administration an alternative route of efficacy comparable to other routes and with advantages such as easy execution, requiring no extra skill, and not depend on patient compliance.
The use of corticosteroids, in reducing edema, pain and trismus, in third molar surgeries has been researched in recent decades. This study reviews the published papers in the last decade, reporting the effects of dexamethasone and / or methylprednisolone on the control of post-operative sequelae. Were included 29 articles, of which 19 evaluated dexamethasone, 8 analyzed methyl-prednisolone and two compared the effectiveness of the two drugs. of their analysis it was concluded that corticosteroids are useful in reducing post-operative symptoms, with a significant reduction of edema and trismus, although their role in pain control is not well established. Different doses, routes of administration and dosages are used, with the single preoperative administration being considered more effective and submucosal administration an alternative route of efficacy comparable to other routes and with advantages such as easy execution, requiring no extra skill, and not depend on patient compliance.
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Keywords
Corticosteroides Edema Dor e trismo Cirurgia de terceiro molar Dexametasona Metilprednisolona Corticosteroids Edema Pain and trismus Third molar surgery Dexamethasone Methylprednisolone