Comparative Study on the Efficacy of Postsurgical Oral Prophylactic Antibiotic Versus Antimicrobial Suture Placement Alone in Preventing Surgical Site Infection After Removal of Impacted Mandibular Third Molar.

Autor: Mohan, Shama, Jayanth, B. S., Saralaya, Shruthi, Sunil, S. M., Sageer, A. S. Mohamed, Harikrishnan, R.
Zdroj: Journal of Maxillofacial & Oral Surgery; Dec2020, Vol. 19 Issue 4, p546-551, 6p
Abstrakt: Aim: To evaluate the efficacy of postsurgical oral prophylactic antibiotic versus antimicrobial suture placement in preventing infection after removal of an impacted mandibular third molar. Materials and methods: This was a prospective, single-blind study including 150 individuals of 18–40 years divided into two groups with 75 patients each. The patients in Group 1 were administered oral amoxicillin tablets 500 mg for 5 days postsurgery with 3–0 polyglactin sutures for closure and in group 2 with (3–0) antimicrobial chlorhexidine diacetate-impregnated polyglactin sutures only. Evaluation was done on 3rd, 7th, 15th days and 1 month. Results: There was no significant difference in rates of infection between the groups. Abnormal erythema, pain and trismus showed statistically better results in group 2 on 3rd and 7th days. An antibiotic side effect assessment showed 17.65% patients with minor side effects. Conclusion: Chlorhexidine diacetate-impregnated polyglactin sutures showed reduced erythema, pain and trismus in healthy patients undergoing surgical removal of third molar. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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