DOI: 10.36347/sjds.2019.v06i05.009

Pages: 288-291

Background: Surgical removal of the mandibular third molars is the most common surgical procedure in oral and maxillofacial surgery. Aim: To test the role of submucosal injection of methylprednisolone into the masseter muscle on oedema after impacted tooth surgery. Methods: Study subjects were divided into Group I (no steroids), Group II (Local Submucosal injection), Group III (oral tablets), Group IV (i.v. injection) and Group V (Intramuscular Injection). Oedema was evaluated in comparison to the preoperative values on day 2 and day 7 following the surgical procedure as mean swelling score. Results: At the end of day 2, mean swelling score was found to be maximum in Group I (118.43 ± 9.02) whereas minimum in Group V (108.95 ± 5.08). There was a statistically significant difference in mean swelling score at day 2 between the study and test groups. At the end of day 7, mean swelling score was found to be maximum in Group I (111.07 ± 8.72) whereas minimum in Group IV (109.14 ± 3.52). Conclusion: Local submucosal administration of methylprednisolone into the masseter muscle provided better results as compared to control. At par results were observed with oral administration and i.v. injection of methylprednisolone following lower third molar surgery among study subjects.