Indian Journal of Dental Research

ORIGINAL RESEARCH
Year
: 2012  |  Volume : 23  |  Issue : 2  |  Page : 295--296

Effect of a combination of oral midazolam and low-dose ketamine on anxiety, pain, swelling, and comfort during and after surgical extractions of mandibular third molars


Rubina Gupta1, Kiran Sharma2, Umesh Kumar Dhiman1 
1 Department of Dental Surgery, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
2 Department of Anesthesia, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India

Correspondence Address:
Rubina Gupta
Department of Dental Surgery, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh
India

Purpose: To assess the clinical efficacy of a combination of oral midazolam plus low-dose ketamine for reducing anxiety during surgery and in preventing postoperative pain and swelling after the surgical extraction of third molars. Materials and Methods: Thirty patients requiring bilateral surgical extraction of mandibular third molars were included in this study. Prior to extraction of the tooth on the right side, a combination of oral midazolam and low-dose ketamine was given to the patient, while this protocol was not followed for extraction of the tooth on the left side. Anxiety levels were checked before surgery. The postoperative pain and swelling and patient«SQ»s comfort with and without the premedication were compared. Results: Facial swelling on the postoperative days was lower on the right side than on the left. Pain scores at 30 minutes and 24 hours after surgery were significantly higher on the left side. Also, anxiety during the surgery was less and comfort levels were higher postoperatively when the combination of oral midazolam plus low-dose ketamine was used. Conclusions: Premedication with midazolam plus low-dose ketamine prior to surgical extraction of third molars can provide the patient with a comfortable procedure and good postoperative analgesia, with less swelling and significantly less pain.


How to cite this article:
Gupta R, Sharma K, Dhiman UK. Effect of a combination of oral midazolam and low-dose ketamine on anxiety, pain, swelling, and comfort during and after surgical extractions of mandibular third molars.Indian J Dent Res 2012;23:295-296


How to cite this URL:
Gupta R, Sharma K, Dhiman UK. Effect of a combination of oral midazolam and low-dose ketamine on anxiety, pain, swelling, and comfort during and after surgical extractions of mandibular third molars. Indian J Dent Res [serial online] 2012 [cited 2021 Sep 26 ];23:295-296
Available from: https://www.ijdr.in/article.asp?issn=0970-9290;year=2012;volume=23;issue=2;spage=295;epage=296;aulast=Gupta;type=0