Comparison of the effects of administration and non,administration of antibiotics on post,surgical complications of impacted wisdom teeth

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KAZEMIAN MOZHGAN; Dadmehr Saleh

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Journal: Journal of Dental Medicine Year:2020 | Volume:33 | Issue:1 Page(s): 46-53

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Title

Comparison of the effects of administration and non,administration of antibiotics on post,surgical complications of impacted wisdom teeth

Author(s)

KAZEMIAN MOZHGAN | Dadmehr Saleh | Issue Writer Certificate

Keywords

Impacted toothQ2

TrismusQ3

ErythemaQ1

HalitosisQ2

Abstract

Background and Aims: Some of the post-operative complications of impacted third molar surgery, one of the most prevalent surgeries in oral field, are known to be infection, Erythema, Trismus and pain. Antibiotic prescription to prevent post-operative infection under some particular circumstances, is acceptable but under debate considering their disadvantages. In the present study, we examined the infection rate in patients taking no or 2 types of antibiotics distinctively after impacted mandibular third molar surgery. Materials and Methods: In this double blind clinical trial, 90 patients within the age range of 18 to 34 were dedicated to 3 groups (group 1: 2 capsules of placebo on surgery day and 1 for 4 days, group 2: Amoxicillin 500 mg every 8 hours for 5 days, group 3: Azithromycin 250 mg, 2 capsules on surgery day and 1 capsule for 4 days). All subjects were treated by a sole surgeon, protocol, surgical technique, and flap type and the same amount of osteotomy. In addition to aforesaid drugs, the patients received chlorhexidine and Gelofen 400 mg. At the day 7 postoperative, cases were examined to evaluate the infection (Trismus, Erythema and Halitosis). Data were analysed using Chi-Square test and the groups were compared by Kruskal-Wallis test. Results: Three signs of infection (Halitosis, Erythema and Trismus) were compared in patients. Symptoms of Halitosis and Erythema were more indicated in first group, but the ultimate statistical analyses among the 3 groups from Halitosis and Erythema viewpoint showed no significant difference (P=0. 072, P=0. 149). Although, no severe Trismus was reported, the most moderate Trismus incidence was in group 2 and mild Trismus was exhibited in group 1. In group 3, no Trismus occurred. On the whole, the Trismus frequency among groups was statistically significant (P=0. 004). Conclusion: Comparing infection symptoms of the three study groups emphasized the fact that only Trismus rate was statistically significant (P=0. 004). On balance, the results of this study indicated that antibiotics did not have significant impact on the reduction of most postoperative complications, especially on infection.

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APA: Copy

KAZEMIAN, MOZHGAN, & Dadmehr, Saleh. (2020). Comparison of the effects of administration and non,administration of antibiotics on post,surgical complications of impacted wisdom teeth. JOURNAL OF DENTAL MEDICINE, 33(1 ), 46-53. SID. https://sid.ir/paper/378851/en

Vancouver: Copy

KAZEMIAN MOZHGAN, Dadmehr Saleh. Comparison of the effects of administration and non,administration of antibiotics on post,surgical complications of impacted wisdom teeth. JOURNAL OF DENTAL MEDICINE[Internet]. 2020;33(1 ):46-53. Available from: https://sid.ir/paper/378851/en

IEEE: Copy

MOZHGAN KAZEMIAN, and Saleh Dadmehr, “Comparison of the effects of administration and non,administration of antibiotics on post,surgical complications of impacted wisdom teeth,” JOURNAL OF DENTAL MEDICINE, vol. 33, no. 1 , pp. 46–53, 2020, [Online]. Available: https://sid.ir/paper/378851/en

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