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dexamethasone + bupivacaine + adrenaline + hyaluronidase + saline
- Development stage
- Unknown
- Lead developer
- Postgraduate Institute of Dental Sciences
- Modality
- Recombinant Proteins and Enzymes, Small Molecules
- Administration
- Submucosal Infiltration
01
Overview
This combination drug is a multi-component tumescent solution developed for use in oral and maxillofacial surgery, specifically for the surgical removal of impacted mandibular third molars. The formulation consists of dexamethasone (a synthetic glucocorticoid), bupivacaine (a long-acting local anesthetic), adrenaline (a vasoconstrictor), and hyaluronidase (an enzyme that increases tissue permeability), all diluted in normal saline. The solution is administered via submucosal infiltration to provide prolonged analgesia, reduce postoperative edema (swelling), and minimize trismus (limited jaw opening) by modulating the inflammatory response and extending the duration of local anesthesia. The intervention was evaluated in a split-mouth randomized controlled trial by the Postgraduate Institute of Dental Sciences Rohtak to assess its efficacy in reducing postoperative inflammatory sequelae.
- Other names
- Tumescent steroid infiltrationTumescent solutiondexamethasone + bupivacaine + adrenaline + hyaluronidase + saline-Postgraduate Institute of Dental Sciences Rohtak-impacted third molar
02
Targets
GR (Glucocorticoid receptor)ADRB2 (β2)ADRA1A (α1A)NaV (Voltage-gated sodium channels)
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