Comparative evaluation of the efficacy of Hydrocortisone, povidone-iodine and normal saline as an Irrigating solution during surgical removal of impacted Mandibular third molars a Randomized control trial

Abstract

Introduction: Mandibular third molars are the most commonly impacted teeth and their surgical removal is one of the most common surgical procedures performed by the Oral and Maxillofacial Surgeons. Most of the available literature supports the use of corticosteroids to reduce the post-operative sequelae of lower third molar surgery, namely pain, swelling and trismus, but there is not much evidence found in literature to determine if it is effective when used topically as an intraoperative irrigating solution during surgical removal of lower third molar. The present study is deliberated to assess the effect of irrigation with three different irrigants, namely normal saline, hydrocortisone and povidone iodine in post operative outcomes and complications like pain, swelling and trismus after surgical extraction of mandibular third molars.