【洪郡謙】評論
Contemporary Oral and Maxillary surgery 7e P.183, 184(B)To minimize the swelling that is common after the surgical removal of impacted third molars, some surgeons give parenteral corticosteroids. Intravenous administration of a glucocorticoid steroid provides sufficient antiinflammatory activity to greatly limit edema.類固醇可以提供抗發炎能力來防止Edema!(D)many surgeons deliver an antibiotic such as tetracycline into the sockets of lower third molars to help prevent osteitis sicca (dry socket).很多醫師會開Tetracyclin來防止乾性齒槽炎的發生!附加:a relatively common one is the single administration of 8 mg dexamethasone before surgery. Dexamethasone is a long-acting steroid, and its efficacy in controlling third molar postsurgical edema is documented. This drug can then be continued in an oral dose of 0.75 to 1.25 mg twice a day for 2 to 3 days to continue edema control.術前打8 mg dexamethasone(IV),術後再吃2-3天的口服dexamethasone