Efficacy of Preemptive Dexamethasone and Diclofenac on Pain Control during Maxillary Alveolar Ridge Horizontal Augmentation using Cortical Shell Augmentation Technique: A Randomized Clinical Trial

Authors

Dina Ayman Fayek D.ayman, Future univeristy in EgyptFollow
Mohamed Mounir M.Mounir, Asso,prof of Oral & Maxillofacial surgery Cairo universityFollow
Lobna Abdrlaziz Aly, prof of Oral & Maxillofacial surgery-Future university in EgyptFollow
Ahmed Abozekry, Lecturer of Oral & Maxillofacial surgery- Future University in EgyptFollow

Abstract

Background: Despite the popularity and success of autogenous cortical shell augmentation, it is a painful procedure, limiting its acceptance by patients specifically if general anesthesia is not a viable option. Aim: This study assessed the analgesic efficacy of co-administration of intramuscular diclofenac sodium and dexamethasone preoperatively. Material and Methods: Patients selected according to the inclusion criteria were randomly divided into 2 equal groups. A similar surgical augmentation technique was performed in both groups using autogenous cortical shell technique. The study group received an intramuscular injection of dexamethasone and diclofenac sodium before surgery, and pain level was measured using VAS (visual analogue scale of pain) immediately post-operative for both groups. Results: The mean Rank recorded in the control group (10.64) was greater than the mean value of the study group (4.36). This contrast was statistically significant (p=0.002). Conclusion: Preoperative administration of dexamethasone and diclofenac sodium was effective in controlling pain during cortical shell augmentation surgery

Keywords: pain, autogenous cortical shell technique, diclofenac sodium, dexamethasone

Recommended Citation

Fayek DA, Mounir M, Aly LA, Abozekry A. Efficacy of Preemptive Dexamethasone and Diclofenac on Pain Control during Maxillary Alveolar Ridge Horizontal Augmentation using Cortical Shell Augmentation Technique: A Randomized Clinical Trial. Future Dental Journal. 2023; 9(1):11-16. doi: https://doi.org/10.54623/fdj.9012.

DOI

https://doi.org/10.54623/fdj.9012