Prevalence of surgical site infections following extraction of impacted mandibular third molars: A systematic review and meta-analysis

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-02-01 DOI:10.1016/j.jormas.2024.101995

Evangelos Kostares , Georgia Kostare , Michael Kostares , Athanasios Tsakris , Maria Kantzanou

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Abstract

Our research aims to assess the prevalence of surgical site infections (SSI) following impacted mandibular third molar extractions. Two independent reviewers conducted a comprehensive systematic literature search across Medline, Scopus and Cochrane Central databases. The pooled prevalence, accompanied by 95% confidence intervals (CI), was calculated. Quality assessments, outlier and influential analyses were performed. Our meta-analysis included seventeen eligible studies, encompassing a total of 37,585 impacted mandibular third molar extractions. The overall prevalence of SSI following impacted mandibular third molar extractions was estimated at 1.7% (95% CI 1%-2.6%), indicating considerable heterogeneity among the studies. No study was identified as critically influential. This study highlights the imperative for future well-constructed prospective and retrospective investigations to deepen our understanding of the etiological nuances and refine management approaches for this prevalent postoperative complication.

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下颌第三磨牙拔除术后手术部位感染的发生率：系统回顾与元分析》。

我们的研究旨在评估影响下颌第三磨牙拔除术后手术部位感染（SSI）的发生率。两位独立审稿人在 Medline、Scopus 和 Cochrane Central 数据库中进行了全面系统的文献检索。计算了汇总的流行率以及 95% 的置信区间 (CI)。还进行了质量评估、离群分析和影响分析。我们的荟萃分析包括 17 项符合条件的研究，共涉及 37,585 例受影响的下颌第三磨牙拔除术。影响性下颌第三磨牙拔除术后 SSI 的总发生率估计为 1.7%（95% CI 1%-2.6% ），表明各研究之间存在相当大的异质性。没有一项研究被认为具有重要影响。本研究强调了今后开展完善的前瞻性和回顾性研究的必要性，以加深我们对病因学细微差别的了解，并完善这一普遍术后并发症的管理方法。

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