背景下颌第三磨牙的手术切除是牙科中最常见的手术之一。研究人员对疼痛等术后后遗症的治疗方法进行了广泛的研究,水肿,刺耳,和肺泡骨炎在过去的六十年中。许多方法已被用于解决第三磨牙手术后的临床困难,包括各种襟翼设计和灌溉解决方案。这项研究的目的是比较三种灌溉溶液的效果,氢化可的松,聚维酮碘,和生理盐水,在疼痛上,刺耳,手术切除下颌阻生第三磨牙后水肿。方法该研究涉及105名需要手术拔除下颌第三磨牙的参与者。患者年龄从18岁到40岁不等,他们符合纳入标准。使用简单的随机抽样技术,他们分为三组(第一组:氢化可的松,组2:聚维酮碘,组3:生理盐水)。评估的参数是水肿,疼痛,术后第2天和第7天的牙关紧闭.所有数据均输入MicrosoftExcel(Microsoft®Corp.,雷德蒙德,美国)工作表,并使用Stata17.0(StataCorpLLC,学院站,美国)。采用视觉模拟量表(VAS)评分测量术后疼痛,术后肿胀使用四个固定解剖点的线性测量进行测量,并与术前值进行比较.为了评估刺耳,用卡尺测量切缝间距离,单位为毫米。<0.01的p值被认为是统计学上显著的。结果1组疼痛的平均VAS评分低于其他两组。第1组在术后第二天对肿胀的影响显着,但在术后第七天对肿胀的影响不大。在第2天和第7天,所有三组对三联子的影响均显着。结论氢化可的松作为冲洗液在治疗术后前48小时肿胀方面显示出良好的效果。但其效果在术后第七天逐渐下降。此外,它能有效控制术后疼痛和三联肌。这表明利用氢化可的松作为灌溉溶液,与聚维酮碘相比,已被证明是减少术后疼痛的显着有效选择,水肿,和手术切除受影响的牙齿产生的三端物。
Background The surgical removal of mandibular third molars is one of the most common procedures in dentistry. Researchers have extensively studied the treatment of postoperative sequelae such as pain, edema, trismus, and alveolar osteitis throughout the past six decades. Many approaches have been used to address clinical difficulties after third molar surgery, including various flap designs and irrigating solutions. The aim of this study was to compare the effects of three irrigating solutions, hydrocortisone, povidone-iodine, and normal saline, on pain, trismus, and edema following surgical removal of the impacted mandibular third molar. Methodology The study involved 105 participants who required surgical extraction of mandibular third molars. The patients\' ages ranged from 18 to 40 years, and they fulfilled the inclusion criteria. Using a simple random sampling technique, they were divided into three groups (group 1: hydrocortisone, group 2: povidone-iodine, group 3: normal saline). The parameters evaluated were edema, pain, and trismus on the second and seventh postoperative days. All data were input into Microsoft Excel (Microsoft® Corp., Redmond, USA) worksheets and analyzed using Stata 17.0 (StataCorp LLC, College Station, USA). The visual analog scale (VAS) score was used to measure postoperative pain, and postoperative swelling was measured using linear measurements from four fixed anatomical points and compared to preoperative values. To assess trismus, the inter-incisal distance was measured in millimeters with a caliper. A p-value of <0.01 was considered statistically significant. Results The mean VAS score for pain in group 1 was lower than the other two groups. The effect of group 1 was significant on the second postoperative day but insignificant on the seventh postoperative day for swelling. The effect of all three groups on trismus was significant on the second and seventh days. Conclusions Hydrocortisone as an irrigating solution showed promising results in managing postoperative swelling in the first 48 hours, but its effect gradually declined by the seventh postoperative day. Additionally, it was effective in controlling postoperative pain and trismus. This suggests that utilizing hydrocortisone as an irrigating solution, compared to povidone-iodine, has been proven to be a significantly effective option in reducing postoperative pain, edema, and trismus resulting from the surgical removal of impacted teeth.