Comparison of Efficacy of Prophylactic Antibiotics in Preventing Infection with no Antibiotics Given for Removal of Impacted Mandibular Third Molar Tooth

Alaf Khan, Shahid Khan,Muhammad Jamal, Anam Javed,Misbah Murtaza, Manahil Rahat

Pakistan Armed Forces Medical Journal(2024)

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Abstract
Objective: to compare pre-operative prophylactic antibiotics with no antibiotics for removing an impacted mandibular third molar tooth to avoid Infection. Study Design: Quasi-experimental study Place and Duration of Study: Ayyub Teaching Hospital Abbottabad, Pakistan from Jan 2018 to June 2018 Methodology: Two hundred four study participants were divided into two groups: those with their third mandibular molar teeth impacted and those without. One Group was given an antibiotic before surgery; the other received a placebo. Both groups were followed after surgery and were observed for the development of post-operative Infection. Results: There were 204 participants in our study whose age group ranged from 17-30 years, (mean age 23.89±2.39 years). Of 204 individuals, 182(89.2%) were treated well, whereas 22 individuals were diagnosed with Infection (10.8%). 18 individuals (17.6%) developed Infection in the Placebo Group, whereas 4(3.9%) patients developed infection in the Antibiotic Group. Conclusion: The frequency of post-operative infections is reduced in individuals with an impacted third mandibular molar tooth who are given antibiotics before surgery.
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Key words
Prophylaxis,Anti-bacterial agents,Antibiotic prophylaxis,Postoperative complications,Molar,MandibleMandible
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