Observation and factor analysis of submucosal injection of dexamethasone for analgesia and detumescence after incremental bone implantation
10.13591/j.cnki.kqyx.2024.09.003
- VernacularTitle:黏膜下注射地塞米松对种植骨增量术后镇痛及消肿的疗效观察及因素分析
- Author:
Feng HE
1
;
Hong ZHU
;
Wenqing ZHU
Author Information
1. 南京医科大学附属口腔医院口腔特诊科,口腔疾病研究与防治国家级重点实验室培育建设点,江苏省口腔转化医学工程研究中心,江苏南京 (210029)
- Keywords:
bone implant increment;
dexamethasone;
pain factor;
degree of swelling
- From:
STOMATOLOGY
2024;44(9):652-657
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the efficacy of submucosal injection of dexamethasone in analgesia and detumescence after incremen-tal bone implantation,and to analyze the related factors of pain and swelling after incremental bone implantation.Methods Patients with dentition defect requiring bone increment(GBR or internal maxillary sinus lift)were collected from the Special Clinic of the Affilia-ted Stomatology Hospital of Nanjing Medical University from January 2023 to December 2023.Pain and swelling within 72 hours after surgery were measured and recorded,as well as possible influencing factors,including gender,age,number of implants,duration of surgery,and other factors.Oral health status,pre-FAC tension and PSQ pain sensitivity were compared between the two groups at dif-ferent time.Pearson correlation and multiple linear regression analysis were performed for the possible influencing factors.Results Pa-tients receiving dexamethasone intervention had significantly lower pain levels at 12 hours and significantly lower swelling scores at 48 hours.Correlation analysis and regression analysis showed that GBR had a significant effect on postoperative pain and swelling(r=0.348,P=0.030/r=0.441,P=0.005),and the linear regression model of pain degree was also statistically significant(R2=0.126,P=0.030).Conclusion Submucosal injection of dexamethasone can significantly relieve the pain,swelling and discomfort of patients after incremental bone implantation,and improve the comfort of diagnosis and treatment.
