Close follow-up instead of antibiotic therapy after mandibular third molar surgery: A clinical trial

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Saudi Dental Journal Pub Date : 2024-05-01 DOI:10.1016/j.sdentj.2024.02.004
Mohammad Mehdizadeh , Alireza Sharifinejad , Shokoufeh Aghayari
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Abstract

Background

Prescribing antibiotics (AB) before or after third molar surgery is common among dentists and oral surgeons; however the effectiveness of AB therapy in reducing surgery complications is still contradictory.

Aim

The aim of this study is to evaluate the healing process after mandibular third molar surgery without AB therapy and to assess the role of close follow-ups on patient's perspective.

Methods

This study is a semi-empirical, prospective study conducted on 79 healthy patients. After surgical extraction of the impacted or semi-erupted mandibular third molar, assessment of pain, swelling (intergonial width), infection, and sub-periosteal abscess was done during the 1-month follow-ups of patients.

Results

The mean difficulty level of surgeries performed in this study was moderate. A significant relationship was found between the pain intensity and the psychological impact of follow-ups (p < 0.05). No fever or sign of infection were seen in any patient. The amount of swelling was significantly related to the difficulty level of surgery (p = 0.001); however, no significant correlation was found between the amount of pain and the level of difficulty.

Conclusion

Within the limitations of this study, it can be concluded that in order to reduce the hazards of AB therapy, close follow-up of patients after surgery can be advised.

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下颌第三磨牙术后密切随访代替抗生素治疗:临床试验
背景在下颌第三磨牙手术前后使用抗生素(AB)是牙科医生和口腔外科医生的常见做法;然而,AB疗法在减少手术并发症方面的有效性仍存在矛盾。方法本研究是一项半经验性的前瞻性研究,对象是79名健康患者。在对患者进行为期 1 个月的随访期间,对患者的疼痛、肿胀(龈间宽度)、感染和骨膜下脓肿进行了评估。疼痛强度与随访的心理影响之间存在明显关系(p < 0.05)。所有患者均未出现发热或感染迹象。肿胀程度与手术难度有明显相关性(p = 0.001);但疼痛程度与手术难度之间没有明显相关性。
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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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