Are antibiotics necessary after lower third molar removal?

Autor(es)

Calvo, Adriana M. ; Brozoski, Daniel T. ; Giglio, Fernando P. M. ; Goncalves, Paulo Z. ; Sant'ana, Eduardo ; Dionisio, Thiago J. ; Lauris, Jose R. P. ; Santos, Carlos F.

• Tipo de documento: Artigo Científico
• Fonte: ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY; v. 114, n. 5, p. 10-pg., 2012-11-01.

Resumo

Objective. Patients (n = 110) free of antibiotics, operated on by 3 surgeons ranging in clinical experiences, were evaluated for infection. Study Design. In the preoperative period and during the second and seventh postoperative days, the following parameters were analyzed: pain, infection, swelling, trismus, body temperature, C-reactive protein levels (CRP), and salivary neutrophil counts (SNC). During surgery, the following parameters were analyzed: systolic, diastolic, and mean arterial pressure; oximetry; heart rate; anesthesia quality; local anesthetic amount; bleeding; surgery difficulty; and surgery duration. Results. There were some differences in the surgery duration, local anesthetic amount, anesthesia quality, bleeding, pain experienced, trismus, CRP, and SNC, and no changes in hemodynamic parameters, rescue analgesic medication, wound healing, swelling, body temperature, confirmed case of dry socket, or any other type of local infection. Particularly, no systemic infections were found after lower third molar removal (LTMR). Conclusions. This study suggests that antibiotic prescriptions are unnecessary after LTMR when preoperative infections are absent. (Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(suppl 5):S199-S208) (AU)

• Processo FAPESP: 09/15372-5 - Interação entre o sistema renina-angiotensina e o fator de crescimento endotelial na doença periodontal induzida experimentalmente em ratos
• Beneficiário: Daniel Thomas Brozoski
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 05/53354-8 - A experiencia do cirurgiao-dentista tem efeito sobre a ocorrencia de infeccoes apos exodontias de terceiros molares inferiores inclusos e/ou impactados?
• Beneficiário: Adriana Maria Calvo
• Modalidade de apoio: Bolsas no Brasil - Mestrado