ROLE OF PREOPERATIVE ANTIBIOTICS IN PREVENTION OF POSTOPERATIVE INFECTION AFTER IMPACTED MANDIBULAR THIRD MOLAR SURGERY

  • Khurram Jah Zafar BDS, FCPS (Pak), FFD RCS (Ireland) Senior Registrar, Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Muhammad Imran Saleh BDS, MDS Assistant Professor, Oral & Maxillofacial Surgery, de’Montmorency College of Dentistry / Punjab Dental Hospital Lahore
  • Maleeha Khurram BDS, M.PHIL Assistant Professor, Science of Dental Materials, University Medical & Dental College, Faisalabad
  • Omer Sefvan Janjua BDS, FCPS (Pak), FFD RCS (Ireland) Associate Professor & HOD, Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Muhammad Mustafa Ch BDS, MDS Assistant Professor, Oral & Maxillofacial Surgery, de’ Montmorency College of Dentistry / Punjab Dental Hospital Lahore
  • Ammar Saeed BDS, FCPS Dental Surgeon, Oral & Maxillofacial Surgery, Dental Section, Faisalabad Medical University, Faisalabad
  • Muhammad Usman Akhtar BDS, MDS, Professor & HOD (Supervisor), Oral & Maxillofacial Surgery, de’ Montmorency College of Dentistry /Punjab Dental Hospital, Lahore
Keywords: Antibiotics, Infection, Third molar surgery

Abstract

The aim of the study was to determine the role of preoperative antibiotics in prevention of postoperative infection among patients undergoing impacted mandibular third molar surgery. A randomized controlled study was conducted at the Department of Oral and Maxillofacial Surgery, de’Montmorency College of Dentistry/ Punjab Dental Hospital, Lahore from January 2018 to June 2018. A total of one hundred fifty patients, randomized into two equal groups A and B by using lottery method, having impacted mandibular third molar of similar difficulty index were operated for surgical extraction. Group A (without antibiotic cover) did not receive prophylactic antibiotic cover, whereas group B (with antibiotic cover) received preoperative antibiotics, 2 gram amoxicillin capsule one hour prior to surgical intervention. Data concerning patient’s demographics, preoperative antibiotics and status of postoperative infection was obtained and analyzed. Among 150 patients, 58(38.7%) were males and 92(61.3%) were females with average age of 25.36±5.01 years. The infection rate in group A was 28.0% as compared to 6.7% in group B, and the difference was highly significant statistically with p-value 0.001. The results of this study confirmed that a preoperative antibiotic reduces the chances of postoperative infection in impacted third molar surgery.

Published
2019-04-30
How to Cite
Zafar, K., Saleh, M., Khurram, M., Janjua, O., Mustafa Ch, M., Saeed, A., & Akhtar, M. U. (2019). ROLE OF PREOPERATIVE ANTIBIOTICS IN PREVENTION OF POSTOPERATIVE INFECTION AFTER IMPACTED MANDIBULAR THIRD MOLAR SURGERY. Pakistan Oral & Dental Journal, 39(1), 43-46. Retrieved from http://podj.com.pk/index.php/podj/article/view/345
Section
Oral & Maxillofacial Surgery