{"id":10068,"date":"2024-01-10T20:31:16","date_gmt":"2024-01-10T12:31:16","guid":{"rendered":"https:\/\/taiwanfullarch.com.tw\/?p=10068"},"modified":"2026-03-24T11:56:31","modified_gmt":"2026-03-24T03:56:31","slug":"%e2%98%85is-the-use-of-steroids-necessary-in-implant-surgery","status":"publish","type":"post","link":"https:\/\/taiwanfullarch.com.tw\/?p=10068","title":{"rendered":"\u2605Is the use of steroids necessary in implant surgery?"},"content":{"rendered":"\t\t
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Cases Study<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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\u258b Introduction<\/p>

When the body experiences trauma, the wound releases large amounts of histamine, leading to inflammatory responses characterized by redness, swelling, heat, and pain\u2014this is a natural physiological mechanism. Steroids can inhibit leukocyte migration, thereby reducing postoperative inflammation and edema.<\/p>

\u258b Patients Requiring Caution When Using Steroids<\/p>

Poorly controlled hypertension
Diabetes mellitus
Active peptic ulcer
Osteoporosis
Cataracts
Pregnancy
Immunocompromised patients
HSV (patients with active viral infection)<\/p>

Systemic steroids should be used cautiously in these populations to avoid potential side effects.<\/p>

\u258b Risks of Long-Term Use<\/p>

Long-term or high-dose use of steroids may lead to the following side effects: obesity, fluid and sodium retention, hyperglycemia, increased risk of osteoporosis, and higher susceptibility to infections.<\/p>

Short-term use of steroids can significantly reduce postoperative pain and swelling in maxillofacial surgery without causing notable side effects. Studies have shown that oral administration of 8 mg dexamethasone has a duration of action of up to 66 hours, effectively reducing swelling during the first 1\u20133 postoperative days.<\/p>

\u258b Key Considerations for Steroid Use<\/p>

Type of medication
Potency and dosage
Route of administration
Duration of administration<\/p>

(Please refer to page 5 of the image for a summary of steroids currently available in Taiwan.)<\/p>

\u258b Summary<\/p>

Based on the literature review and the author\u2019s clinical recommendations:<\/p>

Oral dexamethasone is recommended for postoperative swelling control during the first 1\u20133 days.
Procedures more prone to swelling include: deep third molar extraction, extensive GBR and open-window sinus lift, and multiple dental implant placement surgeries.
Steroids are generally not necessary for single implant placement or minor surgical procedures.
A minimum dose of 4 mg is required to achieve a noticeable anti-edema effect.
Most studies recommend a total dose of 8 mg administered preoperatively or postoperatively.<\/p>

Reference
Efficacy of corticosteroid versus placebo in impacted third molar surgery: systematic review and meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2019;48:118\u2013131.
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Cases Study \u258b Introduction When the body experiences tr […]<\/p>\n","protected":false},"author":1,"featured_media":10069,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10068","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/posts\/10068","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10068"}],"version-history":[{"count":4,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/posts\/10068\/revisions"}],"predecessor-version":[{"id":10074,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/posts\/10068\/revisions\/10074"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=\/wp\/v2\/media\/10069"}],"wp:attachment":[{"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10068"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10068"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/taiwanfullarch.com.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10068"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}