Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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EVALUATION OF POSTOPERATIVE PROPHYLACTIC ANTIBIOTIC MEDICATION IN THIRD MOLAR SURGERY

하악 제 3대구치 발거 후 예방적 항생제의 투여에 관한 연구

  • Jeon, Hee-Kyoung (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Choi, Ju-Seok (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Kim, Pyung-Soo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ahn, Yung (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral & Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 전희경 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 최주석 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 김평수 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 안융 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 고승오 (전북대학교 치과대학 구강악안면외과학교실)
  • Published : 2005.12.31
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Abstract

We evaluated the need for prophylactic postoperative oral antibiotic medication in extraction of asymptomatic impacted mandibular third molars. All patient didn't show sign of pain, inflammation, swelling and trismus at the time of extraction. In the experimental group, oral antibiotic medication(Amoxicillin) was carried out for 5 days postoperatively. In the control group, the patients received no antibiotic medication. All groups didn't use antibiotic irrigation solution. Rule of group composition randomized. The surgical technique was the same in all cases. Parameters that were evaluated were infection, pain, facial swelling, trismus. We could not find any significant difference between the experimental and control groups.(P<0.05) The results of our study show that post operative oral prophylactic antibiotic medication after the extraction of impacted mandibular third molars does not contribute to less infection, pain, facial swelling and increased mouth opening after surgery. Therefore we suggest that prophylactic postoperative oral antibiotic medication is not needed in extraction of asymptomatic impacted mandibular third molars.

Keywords

References

  1. Chi H. Bui, Edward B. Seldin, Thomas B. Dodson: Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 2003;61:1379-1389 https://doi.org/10.1016/j.joms.2003.04.001
  2. Tom D. Daley: Third molar prophylactic extraction : a review and analysis of the literature. General dent 1996;310-320
  3. Matteo C, Lorenzo DC, Guido M: Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993;76:412-420 https://doi.org/10.1016/0030-4220(93)90005-O
  4. Thomas P, George F, Irwin A: A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985;43:767-769 https://doi.org/10.1016/0278-2391(85)90331-3
  5. E.C. de Brabander and G. Cattaneo: The effect of surgical drain together with a secondary closure technique on postoperative trismus, swelling and pain after mandibular third molar surgery. Int J Oral Maxillofac Surg 1988;17:119-121 https://doi.org/10.1016/S0901-5027(88)80164-4
  6. C.S. Holland, M.O. Hindle: The influence of closure or dressing of third molar sockets on post-operative swelling and pain. Br J Oral and Maxillofacial Surg 1984;22:65-71 https://doi.org/10.1016/0266-4356(84)90011-1
  7. Paul W, Doris E, Ellen P: Postoperative prophylactic antibiotic treatment in third molar surgery - a necessity? J Oral and Maxillofacial Surg 2004;62:3-8
  8. James K, James F, George Z: A review of commonly prescribed oral antibiotics in general dentistry : Scientific journal. 1993;53:292-299
  9. Published by korean association of oral & maxillofacial surgeons : Textbook of Oral Maxillofac Surg 248
  10. Park YW: Surgical treatment for impacted tooth in mandible. J Kor Dent association 2003;4:239-251
  11. Franck CA: Treatment options for impacted teeth. JADA 2000;131:623-632
  12. Peterson LJ, indresano AT, Marciani RD, Roser SM: Principles of Oral Maxillofac Surg ed2. 1992;1:103-124
  13. Larry JP: Antibiotic prophylaxis wound infections in oral and maxillofacial surgery. J Oral Maxillofac Surg. 1990;48:617-620 https://doi.org/10.1016/S0278-2391(10)80477-X
  14. Joseph F, Joseph A, Stuart E: Prophylactic antibiotics for third molar surgery : a supportive opinion. J Oral Maxillofac Surg 1995;53:53-60 https://doi.org/10.1016/0278-2391(95)90502-2
  15. Monaco G, Cristina S, Maria RG, Luigi C: Antibiotic therapy in impacted third molar surgery. Eur J Oral Sci 1999;437-441
  16. Happonen RP, Backstrom AC, Ylipaavalniemi P: Prophylactic use of phenoxymethylprnicillin and tinidazole in mandibular third molar surgery, a comparative placebo controlled clinical trial. Br J Oral Maxillofac Surg 1990; 28:12
  17. Curran JB, Kenneth S, Young AR: An assessment of the use of prophylactic antibiotics in third molar surgery. Int J Oral Surg 1974;3:1
  18. MacGregor AJ: Reduction in morbidity in the surgery of the third molar removal. Dent Update 1990;17:411
  19. Sands T, Pynn BR, Nenniger S: third molar surgery : Current concepts and controversies. Oral health 1993;83:19
  20. S. Schultze-M, R. Schmelzeisen, J.C Frolich: Use oh ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars. J Oral Maxillofac Surg 1995;53: 2-7 https://doi.org/10.1016/0278-2391(95)90486-7
  21. Go SO: Complications and prophylaxis, treatment after impacted molar extraction. J kor dent association. 2003;4:245-251
  22. E.O Edgar, R. Ader : Methodological problems in the measurement of pain: A comparison between the verbal reading scale and the visual analogue scale. Pain 1975;1:379-384 https://doi.org/10.1016/0304-3959(75)90075-5
  23. D.D. Price, P.A. MacGrath: The validation of visual analogue scale as the ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56 https://doi.org/10.1016/0304-3959(83)90126-4
  24. W.M. Richard, L.K. Brett: Evaluation of constrictor affect in chronic pain: an attempt using the Toronto Alexythmia Scale. Pain 1992;50:287-292 https://doi.org/10.1016/0304-3959(92)90033-8