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EVALUATION OF POSTOPERATIVE PROPHYLACTIC ANTIBIOTIC MEDICATION IN THIRD MOLAR SURGERY  

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)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.31, no.6, 2005 , pp. 474-480 More about this Journal
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
Prophylactic antibiotic treatment; Third molars surgery; Third molar extraction;
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