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Revista de Cirurgia e Traumatologia Buco-maxilo-facial

versão On-line ISSN 1808-5210


MOURA, Walter Leal de et al. Efficacy of Antibiotic Prophylaxis in third molars surgery: A morphometric evaluation. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2011, vol.11, n.2, pp. 83-90. ISSN 1808-5210.

Objective: This study aimed to clinically evaluate the efficacy of antibiotics in retained third molar extractions, determining the need of antibiotics prophylaxis use of in these procedures. Methodology: 14 patients were selected, aged between 15 and 30 years, irrespective of gender, color or race, for removal of retained third molars in symmetrical positions. The surgeries were divided into two groups: the control group in the first surgery and the second group undergoing prophylactic administration of 500 mg of amoxicillin 8 / 8 hours, among seven days after surgery. The evaluation of edema was established by the distance of reference points and assessment of facial trismus was obtained by the distance interincisal top and bottom. Measurements were performed before and after surgery, 24, 48 hours and 7 days. Pain was evaluated subjectively by a visual analog scale. Conclusions: The research conclude that there was no statistically significant difference with respect to swelling and trismus after dental extractions with or without the use of antibiotics, and there was statistically significant difference in relation to pain in the postoperative periods of 24 and 48 hours, and higher presence of pain when it was used antibiotic.

Palavras-chave : Antibiotic Prophylaxis; edema; trismus; molar..

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