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Year : 2017  |  Volume : 9  |  Issue : 6  |  Page : 265-268

Prophylactic antibiotics after extraction: Needed or not needed?

Department of Oral and Maxillofaical Surgery, Sri Rajiv Gandhi College of Dental Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. M Deepa
1004, Saaya Serene, Panduranga Nagar, Bengaluru - 560 076, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jioh.jioh_219_17

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Aim: Our study aimed to evaluate the need to prescribe antibiotics before every extraction even in healthy individuals. Materials and Methods: A prospective, randomized clinical trial was done on 483 patients who were indicated for undergoing extraction under local anesthesia. The patients were evaluated for signs of infection that included pain, edema, fever, pus discharge, erythema, and decreased interincisal opening. They were evaluated on the 1st, 3rd, and 7th postoperative day for the same. The patient was considered to have an active infection if they showed pain and any other two signs of infections. Statistical Analysis: Descriptive and inferential statistical analysis has been carried out in the present study. Results: Out of the 483 patients evaluated two patients had pain and showed slight edema and erythema. These patients were considered as having an active infection and were prescribed therapeutic antibiotics. Conclusion: In our study, 0.4% showed signs of active infection after undergoing extraction without prophylactic antibiotics. Further studies have to be undertaken to create definitive guidelines for prescribing antibiotics after extraction.

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