Medicinski Podmladak (Jan 2020)
Frequency of inflammatory complications following surgical tooth extraction and the efficiency of postoperative protocols for their prevention
Abstract
Introduction: Surgical tooth extraction is one of the most common surgical procedures in oral surgery nowadays. The post-extraction period is usually uneventful, however, in some cases, the healing process may be affected by the extraction trauma or by the impact of bacteria at the surgical site. Aim: The aim of this paper is to establish the frequency of inflammatory complications, specifically surgical site infections and alveolar osteitis, after surgical extractions, and to explore the impact of antiseptics and antibiotics regarding the prevention of these complications. Material and methods: A number of 60 patients was included in this research, divided into three research groups according to the post-operative treatment type prescribed. The first group consisted of the patients who had been prescribed antibiotics, while the second group consisted of the patients who had been instructed to rinse their mouth with 0.12% chlorhexidine digluconate rinse postoperatively. Control group consisted of the patients who had not been prescribed any treatment. The postoperative check-ups were done on the second and the seventh day after the surgery, where it was checked if there were any clinical signs of infection or alveolar osteitis at the surgical site. Results: The study consisted of 60 patients, out of which a total of 67 teeth were extracted. Two patients were diagnosed alveolar osteitis, while four patients were diagnosed postoperative infection Conclusion: Statistically significant difference between the participant groups regarding the frequency of postoperative complications has not been noticed. There is insufficient evidence to justify the routine use of antibiotics or antiseptics after surgical tooth extractions.
