Tag Archives | dry socket

The Effect of a Single Dose of Antibiotics Prior to Wisdom Teeth Surgery

An interesting article titled “A Systematic Review on Effect of Single-Dose Preoperative Antibiotics at Surgical Osteotomy Extraction of Lower Third Molars” appears in the 2016 Journal of Oral and Maxilofacial Surgery and written by Karoline Brørup Marcussen and et. al. (vol. 74, pp. 693-703). The authors sought to conduct a systematic review of randomized controlled trials to evaluate the effectiveness of a single dose of preoperative antibiotics for preventing infection and alveolar osteitis [dry socket] in lower wisdom tooth surgery performed with osteotomy. Using antibiotic prophylaxis to reduce the incidence and severity of postoperative complications in surgical removal of impacted lower wisdom teeth is controversial. All randomized controlled trials  (RCTs) evaluating the effect of all types of prophylactic antibiotics administered 20 to 120 minutes preoperatively versus no antibiotics or placebo on the incidence of infection after surgical removal of lower impacted wisdom up to 1 week after surgery, were reviewed by the authors. In the search, 196 search hits were found. From these, 50 potentially relevant reports and 9 relevant reviews were identified. From these 7 RCTs were included and 3 additional were turned up in other searchers. Three RCTs reported infections, 4 RCTs reported alveolar osteitis, and 3 RCTs reported both infections and alveolar osteitis as outcomes. Finally a total of  1,390 patients from 10 RCTs were included. The meta-analysis showed that the use of antibiotics significantly reduced […]

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Does the Menstrual Cycle Effect the Possibility of Developing a Dry Socket After Wisdom Teeth Removal?

An interesting study is described exploring the possibility of the menstrual cycle affecting the possibility of developing a dry socket after wisdom teeth removal. This study is presented in the article titled ” Effect of Menstrual Cycle on Frequency of Alveolar Osteitis in Women Undergoing Surgical Removal of Mandibular Third Molar: A Single-Blind Randomized Clinical Trial,” by Majid Eshghpour, Naser Mohammadzadeh Rezaei, and AmirHossein Nejat, appearing in the Journal of Oral and Maxillofacial Surgery (vol. 71, pp. 1484-1489, 2013). The article explores the association of between the menstrual cycle and the frequency of dry socket (alveolar osteitis). The authors report that various studies have shown a chance ranging from 5-30% of the possibility of developing a dry socket (alveolar osteitis) after wisdom teeth removal. (See the complications page of this website to see more on dry sockets http://www.teethremoval.com/complications.html) In the study the authors point out that the risk factors of developing a dry socket include the experience of the surgeon the amount of trauma during surgery the difficulty of the surgery the age of the patient smoking habits inappropriate irrigation during surgery pre-operative infection use of local anesthetics use of oral contraceptives It is also mentioned that gender has shown […]

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Exploring Giving Antibiotics Before Third Molar Surgery (Wisdom Teeth Removal) in Spain

An issue that one asks when having third molar surgery (wisdom teeth removal) is one whether should have antibiotics administered before or after surgery (or not at all). See for example http://www.teethremoval.com/antibiotic_resistance.html In a recent article appearing in J Evid Base Dent Pract 2012, issue 12, pp. 149-150, Manal A. Awad, reviewed a study exploring amoxicillin administration to those who were having wisdom teeth extracted. The original study was titled “Efficacy of amoxicillin treatment in preventing postoperative complications in patients undergoing third molar surgery: a prospective, randomized, double-blind controlled study,” by Lopez-Cedrun JL, Pijoan JI, Fernandez S, and Santamaria J, Hernandez G and appeared in the electronic 2011 version pages 5 -14, issue 69, number 6. It is well known that amoxicillin is useful in treating oral infections. In the study 123 healthy patients between the ages of 18 and 46 years which included mostly females (90) were randomly divided into 3 groups: 1) received amoxicillin preoperatively (n = 39), 2) received placebo (n = 44), and 3) received amoxicillin postoperatively (n = 40).  The patients in the study were having at least 1 impacted wisdom teeth removed. Patients and clinicians were blinded as to what group they were in […]

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Dentalhealth.org

I wanted to let everyone know about the site dentalheath.org. It is a site by the British Dental Health Foundation. There is a section for the public, a section for the press, and a section for professionals. Most people will find the Dental Health Information Leaflets section in the for the public part of the website to be useful. There are numerous useful dental related categories such as wisdom teeth, what to do following an extraction, x-rays, and so on. Since the site is from the British Dental Health Foundation, it’s intended audience is for people who live in Britain so this is important to keep in mind. Even so the information can be helpful for everyone. The site is arranged so that frequently asked questions for each category are asked and then answered. For example, in the wisdom teeth category, a question is “What are the main reasons for taking wisdom teeth out?” The answer is Far fewer wisdom teeth are now taken out than in the past. If the tooth is not causing problems, your dentist will not want to remove it. They will only remove wisdom teeth: – when it is clear that they will not be […]

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