Oral Surg Oral Med O
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Piercing is popular among young people, who view this practice as a sign of marginality, beauty, or group identity. The complications of lingual piercing include infection, pain, bleeding, edema, inhalation, dental trauma, contact lesions, and oral interferences. The objective of this case report is to present a case of lingual piercing in which the piercing had become partially embedded in the interior of the tongue.
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Oral Surg Oral Med O · Feb 2005
Randomized Controlled Trial Clinical TrialPreemptive rofecoxib and dexamethasone for prevention of pain and trismus following third molar surgery *.
Objective The goal of this preliminary randomized prospective clinical trial was to compare the analgesic efficacy and the reduction in trismus of preoperative rofecoxib, intraoperative dexamethasone, and both rofecoxib and dexamethasone following third molar extraction surgery. Study design Thirty-five subjects requiring surgical removal of at least 1 partial bony impacted mandibular third molar were invited to participate in this double-blind and double-dummy placebo-controlled clinical trial. Subjects were randomly assigned into 1 of 4 treatment groups: (1) placebo po preoperatively and placebo IV intraoperatively; (2) rofecoxib 50 mg po preoperatively and placebo IV intraoperatively; (3) placebo po preoperatively and dexamethasone10 mg IV intraoperatively; and (4) rofecoxib 50 mg po preoperatively and dexamethasone 10 mg IV intraoperatively. ⋯ The group receiving the combination of rofecoxib and dexamethasone showed a decrease in interincisal opening of 23.7% of baseline ( P < .05 vs placebo). Conclusions The results of this trial indicate that the use of intraoperative dexamethasone is an effective therapeutic strategy for limiting trismus following surgical removal of impacted third molars. The combination of preoperative rofecoxib 50 mg and intraoperative dexamethasone 10 mg was most effective in minimizing pain and trismus following third molar surgery.