Title

Corticosteroid use in oral surgery: A review of dosing protocols and clinical outcomes

Authors

Aditya Narayan Shukla¹, Pramod D S Raghavendra², Sonali Perti³, Sapna Pandey⁴, Vishwannath Hiremath⁵* & Syed Sajid Basha⁶

Affiliation

¹Department of Oral & Maxillofacial Surgery, Babu Banarasi Das College of Dental Sciences ²Department of Oral & Maxillofacial Surgery ,Registrar Oral and Maxillofacial surgery, Riyadh Health cluster Ministry of Health, Saudi Arabia; ³Department of Prosthodontics, Kalinga Institute of Dental Sciences, KIIT University, Patia, Bhubaneswar, Odisha, India; ⁴Department of Oral & Maxillofacial Surgery, Chandra Dental College and Hospital, Uttar Pradesh, India; ⁵Department of Oral and Maxillofacial Surgeon, A Unit of Hiremath Hospitals Pvt Ltd, Vijayanagar, Bangalore, India; ⁶Department of Oral and Maxillofacial surgery, , Maharana Pratap College of Dentistry and Research Centre, Gwalior, India; *Corresponding author

Email

Aditya Narayan Shukla - E-mail: adityanarayanshukla22@gmail.com
Pramod D S Raghavendra - E-mail: pramoddsr@gmail.com
Sonali Perti - E-mail: sonaliperti7@gmail.com
Sapna Pandey - E-mail: sapnaakp@gmail.com
Vishwannath Hiremath - E-mail: drhiremathhospitals@gmail.com
Syed Sajid basha - E-mail: sajidaahil@gmail.com

Article Type

Review

Date

Received January 1, 2026; Revised January 31, 2026; Accepted January 31, 2026, Published January 31, 2026
 

Abstract

Corticosteroids have become integral components of perioperative management in oral surgery, offering significant potential for reducing postoperative complications including pain, swelling, and trismus. Despite widespread clinical adoption, considerable variability exists in prescribing patterns regarding drug selection, dosing protocols, routes of administration, and timing of delivery. Available data shows that dexamethasone, particularly at doses of 4-16 mg, effectively reduces postoperative morbidity when compared to placebo. Thus, preoperative administration appears to offer superior outcomes compared to postoperative dosing, supporting a preemptive anti-inflammatory approach.

Keywords

Corticosteroids, dexamethasone, oral surgery, postoperative complications, pain management, edema, trismus, narrative review

Citation

Shukla et al. Bioinformation 22(1): 21-25 (2026)

Edited by

Hiroj Bagde

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.