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Mandibular third molar surgery is one of the most common minor oral surgical procedures performed by oral andmaxillofacial surgeons. It is vital to provide the most comfortable postoperative phase to the patient and for this reason dexamethasone, a corticosteroid, is popularly used in various routes. The intraspace injection of dexamethasonemixedwith 2% lignocaine and 4%articaine named, TwinMix andModi ied TwinMix respectively is gaining increasing popularity. 0.5% Centbucridine is a safe alternative to 2% lignocaine with more cardio stable properties. In this study we aimed to evaluate the comparability of Twin Mix(TM) and Revamped Twin Mix(RTM) (mixture of dexamethasone and centbucridine) with respect to its anesthetic properties and its effectiveness in managing postoperative sequelae following mandibular third molar surgery. For this, a randomised controlled double blinded study was conducted among patients reporting to the Out Patient Department of a dental college. The sample size of the population studied was 32, 16 in Group A (RTM) and 16 in Group B (TM). The primary outcomes measured were facial swelling and mouth opening on postoperative day(POD) 1, 3 and 7. The secondary outcomes were VAS score during the surgical procedure, duration and latency of anesthesia. The data were analysed descriptively and using Student’s t Test. Representations were given in graphical and tabular forms. The mean postoperativemouth opening and facial swelling on POD1, 3 and 7were comparable and did not show any statistically signi icant difference. Similarly, the VAS score during procedure, latency and duration of anesthesiawere comparable with no statistically signi icant difference. In conclusion, RTM can be used as an alternative to TM due to its comparable properties.

Comparison of twin mix and revamped twin mix in mandibular third molar surgery - A randomised controlled double blinded study