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Article: Is there a need for postoperative antibiotics after third molar surgery? A 5-year retrospective study

TitleIs there a need for postoperative antibiotics after third molar surgery? A 5-year retrospective study
Authors
Keywordsextraction
infection
postoperative complication
retrospective study
third molar
Issue Date2019
PublisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=2041-1618&site=1
Citation
Journal of Investigative and Clinical Dentistry, 2019, v. 10 n. 4, p. article no. e12460 How to Cite?
AbstractAim: Randomized controlled trials might be reporting a higher postoperative infection rate for third molar surgery compared to other study designs due to unclear criteria for the classification of “infections”. The aim of the present retrospective study was to assess the infection rate after third molar surgery with and without postoperative antibiotic prescription. Methods: Case records of patients who underwent third molar extractions at the Prince Philip Dental Hospital in Hong Kong between 3 July 2012 and 22 June 2017 were evaluated retrospectively. Data extraction was performed for indications, clinical and radiographic findings, antibiotic treatment, postoperative complications, and treatment for postoperative infection. The odds ratio (OR) for postoperative infection was estimated. Results: In total, 1615 extracted over 5 years from 992 patient records were included in the final analysis. Antibiotics were prescribed postoperatively for 44% of the extractions. The overall infection rate was 2.05%. There was no significant difference in infection rates between the groups which underwent extractions with or without antibiotics (OR = .68; P = .289). We found a significantly higher risk for infections with increasing age (P = .002). Conclusion: Infection rates after third molar extraction is minimal in the current setting, with no significant benefit from postoperative antibiotic prescription.
Persistent Identifierhttp://hdl.handle.net/10722/277732
ISSN
2015 SCImago Journal Rankings: 0.268
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMenon, RK-
dc.contributor.authorLi, KY-
dc.contributor.authorGopinath, D-
dc.contributor.authorBotelho, MG-
dc.date.accessioned2019-10-04T08:00:13Z-
dc.date.available2019-10-04T08:00:13Z-
dc.date.issued2019-
dc.identifier.citationJournal of Investigative and Clinical Dentistry, 2019, v. 10 n. 4, p. article no. e12460-
dc.identifier.issn2041-1618-
dc.identifier.urihttp://hdl.handle.net/10722/277732-
dc.description.abstractAim: Randomized controlled trials might be reporting a higher postoperative infection rate for third molar surgery compared to other study designs due to unclear criteria for the classification of “infections”. The aim of the present retrospective study was to assess the infection rate after third molar surgery with and without postoperative antibiotic prescription. Methods: Case records of patients who underwent third molar extractions at the Prince Philip Dental Hospital in Hong Kong between 3 July 2012 and 22 June 2017 were evaluated retrospectively. Data extraction was performed for indications, clinical and radiographic findings, antibiotic treatment, postoperative complications, and treatment for postoperative infection. The odds ratio (OR) for postoperative infection was estimated. Results: In total, 1615 extracted over 5 years from 992 patient records were included in the final analysis. Antibiotics were prescribed postoperatively for 44% of the extractions. The overall infection rate was 2.05%. There was no significant difference in infection rates between the groups which underwent extractions with or without antibiotics (OR = .68; P = .289). We found a significantly higher risk for infections with increasing age (P = .002). Conclusion: Infection rates after third molar extraction is minimal in the current setting, with no significant benefit from postoperative antibiotic prescription.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=2041-1618&site=1-
dc.relation.ispartofJournal of Investigative and Clinical Dentistry-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectextraction-
dc.subjectinfection-
dc.subjectpostoperative complication-
dc.subjectretrospective study-
dc.subjectthird molar-
dc.titleIs there a need for postoperative antibiotics after third molar surgery? A 5-year retrospective study-
dc.typeArticle-
dc.identifier.emailBotelho, MG: botelho@hkucc.hku.hk-
dc.identifier.authorityBotelho, MG=rp00033-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/jicd.12460-
dc.identifier.scopuseid_2-s2.0-85075814249-
dc.identifier.hkuros306944-
dc.identifier.volume10-
dc.identifier.issue4-
dc.identifier.spagearticle no. e12460-
dc.identifier.epagearticle no. e12460-
dc.identifier.isiWOS:000492477500001-
dc.publisher.placeUnited States-

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