하악 제 3대구치 발거 후 예방적 항생제의 투여에 관한 연구 = EVALUATION OF POSTOPERATIVE PROPHYLACTIC ANTIBIOTIC MEDICATION IN THIRD MOLAR SURGERY

다국어 초록 (Multilingual Abstract)

We evaluated the need for prophylactic postoperative oral antibiotic medication in extraction of asymptomatic impacted mandibular third molars.
All patient didn’t show sign of pain, inflammation, swelling and trismus at the time of extraction. In the experimental group, oral antibiotic medication(Amoxicillin) was carried out for 5 days postoperatively. In the control group, the patients received no antibiotic medication. All groups didn’t use antibiotic irrigation solution. Rule of group composition randomized. The surgical technique was the same in all cases. Parameters that were evaluated
were infection, pain, facial swelling, trismus. We could not find any significant difference between the experimental and control groups.(P<0.05) The results of our study show that post operative oral prophylactic antibiotic medication after the extraction of impacted mandibular third molars does not contribute to less infection, pain, facial swelling and increased mouth opening after surgery.
Therefore we suggest that prophylactic postoperative oral antibiotic medication is not needed in extraction of asymptomatic impacted mandibular third molars.

참고문헌 (Reference)

1 "treatment after impacted molar extraction" 245-251, 2003

2 "third molar surgery:Current concepts and controversies" 83 : 19-, 1993

3 "and risk factors for complications after third molar extraction" 1379-1389, 2003

4 "a review and analysis of the literature" 310-320, 1996

5 "Use oh ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars" 2-7, joralmaxillofacsurg1995

6 "Treatment options for impacted teeth" 131 : 623-632, 2000

7 "The validation of visual analogue scale as the ratio scale measures for chronic and experimental pain" 45-56,

8 "The influence of closure or dressing of third molar sockets on post-operative swelling and pain" 65-71, brjoralandmaxillofacialsurg1984

9 "The effect of surgical drain together with a secondary closure technique on postoperative trismus swelling and pain after mandibular third molar surgery" 119-121, 1988

10 "Surgical treatment for impacted tooth in mandible" 4 : 239-251, 2003

11 "Side effects and complications associated with third molar surgery" 76 : 412-420, 1993

12 "Reduction in morbidity in the surgery of the third molar removal" 17 : 411-, 1990

13 "Published by korean association of oral & maxillofacial surgeons Textbook of Oral Maxillofac Surg 248"

14 "Prophylactic use of phenoxymethylprnicillin and tinidazole in mandibular third molar surgery,a comparative placebo controlled clinical trial" 28 : 12-, 1990

15 "Prophylactic antibiotics for third molar surgery:a supportive opinion" 53 : 53-60, 1995

16 "Principles of Oral Maxillofac Surg ed2" 1 : 103-124, 1992

17 "Postoperative prophylactic antibiotic treatment in third molar surgery - a necessity" 3-8, 2004

18 "Methodological problems in the measurement of pain A comparison between the verbal reading scale and the visual analogue scale" 379-384,

19 "Evaluation of constrictor affect in chronic pain" 287-292,

20 "Antibiotic therapy in impacted third molar surgery" 437-441, eurjoralsci1999

21 "Antibiotic prophylaxis wound infections in oral and maxillofacialsurgery.J Oral Maxillofac Surg" 48 : 617-620, 1990

22 "An assessment of the use of prophylactic antibiotics in third molar surgery" 3 : 1-, 1974

23 "A review of commonly prescribed oral antibiotics in general dentistry:Scientific journal" 53 : 292-299, 1993

24 "A prospective study of complications related to mandibular third molar surgery" 43 : 767-769, 1985