The impact of intravenous antibiotics on health-related quality of life outcomes and clinical recovery after third molar surgery

Foy, Susan P.; Shugars, Daniel A.; Phillips, Ceib; Marciani, Robert D.; Conrad, Shawn M.; White, Raymond P.

doi:10.1016/j.joms.2003.04.003

Cited by 35 publications

(11 citation statements)

References 15 publications

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“…The only difference between both treatment protocols was that when 4 third molars were extracted, intraoperative medication was administered. The administration of intraoperative antibiotics (10), but most likely, of corticosteroids (26,27) in the 4 third molar extraction approach could explain the lower pain values recorded during the first two postoperative days in this group.…”

Section: Discussionmentioning

confidence: 84%

Quality of life following third molar removal under conscious sedation

Sancho-Puchades

Valmaseda‐Castellón²,

Berini-Aytés³

et al. 2012

Med Oral

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Aim: The aim of this study was to assess quality of life (QoL) and degree of satisfaction among outpatients subjected to surgical extraction of all four third molars under conscious sedation. A second objective was to describe the evolution of self-reported pain measured in a visual analogue scale (VAS) in the 7 days after extraction. Study design: Fifty patients received a questionnaire assessing social isolation, working isolation, eating and speaking ability, diet modifications, sleep impairment, changes in physical appearance, discomfort at suture removal and overall satisfaction at days 4 and 7 after surgery. Pain was recorded by patients on a 100-mm pain visual analogue scale (VAS) every day after extraction until day 7. Results: Thirty-nine patients fulfilled correctly the questionnaire. Postoperative pain values suffered small fluctuations until day 5 (range: 23 to 33 mm in a 100-mm VAS), when dicreased significantly. A positive association was observed between difficult ranked surgeries and higher postoperative pain levels. The average number of days for which the patient stopped working was 4.9. Conclusion: The removal of all third molars in a single appointment causes an important deterioration of the patient’s QoL during the first postoperative week, especially due to local pain and eating discomfort. Key words:Third molar removal, quality of life, sedation.

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Section: Discussionmentioning

confidence: 84%

Quality of life following third molar removal under conscious sedation

Sancho-Puchades

Valmaseda‐Castellón²,

Berini-Aytés³

et al. 2012

Med Oral

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“…An earlier prospective report documented by Foe and his team mentions the administration of ampicillin (1g IV\1 hr pre-op) to improve clinical recovery of patients. 30 Penicillin and its derivatives (ampicillin) has been an asset to the healthcare professionals since their discovery and by the virtue of the protection against infections caused by anaerobic bacteria. A similar study by Halperan et al also supports the earlier evidences.…”

Section: Resultsmentioning

confidence: 99%

“…The authors claimed that a single dose of IV antibiotics administered one hour preceding the incision is adequate. 30,31 With sufficient blood levels of the antibiotic and a proper timing, the colonization of bacteria can successfully be prevented. The longer a drug stays in bloodstream; the better is its capacity in reducing post-operative infections.…”

Section: Resultsmentioning

confidence: 99%

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

Chidambaram¹

2019

JYP

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Intravenous antibiotics a subset of parenteral route help in reducing the post-operative infections in dento-alveolar surgery such as the removal of third molar. However, this route lacks evidential support in the literature and thus has received less attention among the oral clinicians and proportionally in pharmacologists. A systematic review was performed in the Pubmed, Pubmed Central and Scopus electronic data bases from January 2003-January 2017 with a view to express the last fifteen years performance. From the primary queries, only 74 references could be collected pertinent to antibiotic therapy in third molar surgery including the protocols laid by American Association of Oral maxillofacial Surgeons and American Academic of Pediatric Dentistry. In the final stage, a couple of articles on in vitro studies, three short discussions, one evidence-based report and a letter to editor met the required desired criteria. The results revealed that it is highly preferable to administrate intravenous antibiotics in high-risk individuals to reduce surgical site infections. From the retrieved evidences, it can be asserted that candidates with clinical signs of rapid progressive infection, total osseous impaction and compromised health deserve to receive a pre-operative single dose of intravenous antibiotics during third molar surgery on the grounds of their vulnerability to bacteremia.

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“…35 Older Answer: Antibiotics, corticosteroids, and ice packs enhance postoperative recovery after M3 removal. [41][42][43][44] For patients with all 4 M3s below the occlusal plane, preoperative IV antibiotics or inserting topical minocycline in the extraction sockets improved recovery as evidenced by fewer POVs. Patients receiving IV corticosteroids reported better sleep and less postoperative nausea after M3 removal.…”

Section: In Patients With Asymptomatic M3s and No Evidence Of Periodomentioning

confidence: 99%

Summary of the Third Molar Clinical Trials: Report of the AAOMS Task Force for Third Molar Summary

2012

Journal of Oral and Maxillofacial Surgery

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The impact of intravenous antibiotics on health-related quality of life outcomes and clinical recovery after third molar surgery

Cited by 35 publications

References 15 publications

Quality of life following third molar removal under conscious sedation

Quality of life following third molar removal under conscious sedation

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

Summary of the Third Molar Clinical Trials: Report of the AAOMS Task Force for Third Molar Summary

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