NDLI: Correlation of antibiotic prophylaxis and difficulty of extraction with postoperative inflammatory complications in the lower third molar surgery.

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Correlation of antibiotic prophylaxis and difficulty of extraction with postoperative inflammatory complications in the lower third molar surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, J. Y. Do, H. S. Lim, J. H. Jang, H. S. Rim, J. S. Kwon, J. J. Lee, E. S.
Description	Author Affiliation: Lee JY ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: denti1@hanmail.net.); Do HS ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: progdo@hanmail.net.); Lim JH ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: surgidenta@hanmail.net.); Jang HS ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: omfs1109@korea.ac.kr.); Rim JS ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: jaesrim@korea.ac.kr.); Kwon JJ ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: kwonjj@korea.ac.kr.); Lee ES ( Department of Oral and Maxillofacial Surgery, Korea University Graduate School of Clinical Dentistry, Seoul, Republic of Korea. Electronic address: ees225@hanmail.net.)
Abstract	Our aim was to investigate the correlation among antibiotic prophylaxis, difficulty of extraction, and postoperative complications in the removal of lower 3rd molars. A total of 1222 such extractions in 890 patients between January 2010 and January 2012 were analysed retrospectively. The difficulty of extraction measured by Pederson's index, antibiotic prophylaxis with cefditoren, and postoperative complications were recorded. The difficulty of extraction was significantly associated with postoperative complications (p=0.03). There were no significant associations between antibiotic prophylaxis and postoperative complications in groups of equal difficulty ('easy' group (class I) p=1.00; 'moderate' group (class II) p=1.00; and 'difficult' group (class III) p=0.65). There was a small but insignificant increase in the number of dry sockets and infections in class III cases. In conclusion, this study provides further evidence that antibiotic prophylaxis for the prevention of postoperative inflammatory complications is unnecessary for extraction of 3rd molars.
File Format	HTM / HTML
ISSN	02664356
Issue Number	1
Volume Number	52
e-ISSN	15321940
Journal	British Journal of Oral and Maxillofacial Surgery
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Dentistry Discipline General Surgery Antibiotic Prophylaxis Mandible Surgery Molar, Third Postoperative Complications Tooth Extraction Methods Adolescent Adult Aged Anesthesia, Dental Anti-bacterial Agents Therapeutic Use Cephalosporins Dry Socket Etiology Female Humans Male Middle Aged Nerve Block Osteotomy Pain, Postoperative Retrospective Studies Surgical Flaps Surgical Wound Infection Classification Trismus Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Oral Surgery Otorhinolaryngology Surgery

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