IJFANS International Journal of Food and Nutritional Sciences

ISSN PRINT 2319 1775 Online 2320-7876

An Analysis of the usage of Perioperative Corticosteroids in Dentoalveolar Surgery

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Mayank Singhal 1* , Sanjeev Tomar2 , Aruna Nautiyal3 , Divya Singh4 Saumya Dimri5 , Mansi Singh6

Abstract

To lessen postsurgical edoema following third molar extraction and other dentoalveolar surgery, dental surgeons are frequently instructed to administer corticosteroids. However, these recommendations are infrequently accompanied by specific instructions on the kind of steroid to use, how much to administer, or for how long to administer it. Numerous current regimens might be subtherapeutic and appear to be based on anecdotal data from articles from the 1960s and 1970s. Insufficient well-designed comparison studies exist, and few regimens have been updated with information from more current investigations. In this article, the literature from the last 30 years is reviewed, significant findings are highlighted, and the data that are currently available are used as a basis for developing interim clinical recommendations for the use of corticosteroids while waiting for the emergence of additional evidence-based data. There was no data meta-analysis done. According to recent research, perioperative corticosteroid regimens should be started before to surgery and delivered at larger dosages and for longer periods of time than previously advised. On the basis of the literature study, preliminary recommendations for the use of corticosteroids are made, including suggested dosages and dosing schedules for oral, intramuscular, or intravenous administration of corticosteroids both before and after extractions and other dentoalveolar operations. When evidence-based data from further studies become available, these mostly empirical suggestions may need to be adjusted. To further assess corticosteroid use procedures, there is a critical need for well-designed clinical studies.

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