Antibiotic therapy in impacted third molar surgery

被引:79
作者
Monaco, G
Staffolani, C
Gatto, MR
Checchi, L
机构
[1] Univ Bologna, Sch Dent, Dept Oral Surg, I-40125 Bologna, Italy
[2] Univ Bologna, Sch Med, Dept Publ Hlth, I-40125 Bologna, Italy
关键词
antibiotic therapy; third molars; amoxicillin;
D O I
10.1046/j.0909-8836.1999.eos107604.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The use of routine antibiotic therapy in patients undergoing surgical third molar extraction is controversial. The efficacy of antibiotic therapy in preventing postoperative complications following surgical third molar extractions was evaluated in 141 patients. In the test group (66 patients), the protocol utilized a regimen of 2 g of amoxicillin orally daily for 5 d postoperatively, starting at the completion of surgery. In the control group (75 patients), no antibiotic therapy was given. No significant difference was found between the test group and the control group in the incidence of postoperative sequelae, i.e. fever, pain, swelling and alveolar osteitis. A statistically significant association between smoking, habitual drinking and increased postoperative pain and fever was found. Patient age greater than or equal to 18 yr was positively correlated with an increased incidence of alveolar osteitis. Swelling was found to be gender-related, in that female patients experienced more swelling than male patients. No correlation was found between the time required for surgery or difficulty of extraction and post-operative pain. In conclusion, no difference was found between patients receiving postoperative amoxicillin and the control group in the incidence of postoperative sequelae.
引用
收藏
页码:437 / 441
页数:5
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