Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review

(1) Background: Antibiotics are used in every medical field including dentistry, where they are used for the prevention of postoperative complications in routine clinical practice during the third molar extraction. (2) Methods: This study is reported in accordance with the Preferred Reporting Items...

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Main Authors: Diana Sologova, Ekaterina Diachkova, Ilana Gor, Susanna Sologova, Ekaterina Grigorevskikh, Liana Arazashvili, Pavel Petruk, Svetlana Tarasenko
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/10/4/72
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author Diana Sologova
Ekaterina Diachkova
Ilana Gor
Susanna Sologova
Ekaterina Grigorevskikh
Liana Arazashvili
Pavel Petruk
Svetlana Tarasenko
author_facet Diana Sologova
Ekaterina Diachkova
Ilana Gor
Susanna Sologova
Ekaterina Grigorevskikh
Liana Arazashvili
Pavel Petruk
Svetlana Tarasenko
author_sort Diana Sologova
collection DOAJ
description (1) Background: Antibiotics are used in every medical field including dentistry, where they are used for the prevention of postoperative complications in routine clinical practice during the third molar extraction. (2) Methods: This study is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The present systematic review aimed to evaluate and systematize the use of antibacterial drugs in order to prevent postoperative complications in outpatient oral surgery for wisdom teeth extraction. We conducted a systematic review using electronic databases such as Medline PubMed, Scopus, and the Cochrane Central Register of Controlled Trials. Considering inclusion and exclusion criteria, we included randomized clinical trials published up to 2021 investigating the antibiotic prescription for third molar extraction. (3) Results: We selected 10 studies after the application of inclusion and exclusion criteria. The results showed that the most widely used antibiotic was amoxicillin both with and without clavulanic acid, in different dosages and duration. There were no statistically significant differences between treatment groups for development of postoperative complications. (4) Conclusions: Based on the analysis of the included studies, penicillin is currently the most widely prescribed group of antibiotics. The widespread use of this antibiotic group can lead to antimicrobial resistance (AMR). Due to increasing prevalence of bacteria resistance to penicillins, clinicians should carefully prescribe these antibiotics and be aware that the widespread use of amoxicillin may do more harm than good for the population.
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spelling doaj.art-df07eca4c4dd4041bd09d34d52eedefc2023-12-01T01:30:35ZengMDPI AGDentistry Journal2304-67672022-04-011047210.3390/dj10040072Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic ReviewDiana Sologova0Ekaterina Diachkova1Ilana Gor2Susanna Sologova3Ekaterina Grigorevskikh4Liana Arazashvili5Pavel Petruk6Svetlana Tarasenko7Department of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaMaxillofacial Surgery Department, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Str., 119991 Moscow, RussiaMaxillofacial Surgery Department, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya Str., 119991 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, Russia(1) Background: Antibiotics are used in every medical field including dentistry, where they are used for the prevention of postoperative complications in routine clinical practice during the third molar extraction. (2) Methods: This study is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The present systematic review aimed to evaluate and systematize the use of antibacterial drugs in order to prevent postoperative complications in outpatient oral surgery for wisdom teeth extraction. We conducted a systematic review using electronic databases such as Medline PubMed, Scopus, and the Cochrane Central Register of Controlled Trials. Considering inclusion and exclusion criteria, we included randomized clinical trials published up to 2021 investigating the antibiotic prescription for third molar extraction. (3) Results: We selected 10 studies after the application of inclusion and exclusion criteria. The results showed that the most widely used antibiotic was amoxicillin both with and without clavulanic acid, in different dosages and duration. There were no statistically significant differences between treatment groups for development of postoperative complications. (4) Conclusions: Based on the analysis of the included studies, penicillin is currently the most widely prescribed group of antibiotics. The widespread use of this antibiotic group can lead to antimicrobial resistance (AMR). Due to increasing prevalence of bacteria resistance to penicillins, clinicians should carefully prescribe these antibiotics and be aware that the widespread use of amoxicillin may do more harm than good for the population.https://www.mdpi.com/2304-6767/10/4/72third molarextractionantibioticprophylaxissystematic review
spellingShingle Diana Sologova
Ekaterina Diachkova
Ilana Gor
Susanna Sologova
Ekaterina Grigorevskikh
Liana Arazashvili
Pavel Petruk
Svetlana Tarasenko
Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
Dentistry Journal
third molar
extraction
antibiotic
prophylaxis
systematic review
title Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
title_full Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
title_fullStr Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
title_full_unstemmed Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
title_short Antibiotics Efficiency in the Infection Complications Prevention after Third Molar Extraction: A Systematic Review
title_sort antibiotics efficiency in the infection complications prevention after third molar extraction a systematic review
topic third molar
extraction
antibiotic
prophylaxis
systematic review
url https://www.mdpi.com/2304-6767/10/4/72
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AT ekaterinadiachkova antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT ilanagor antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT susannasologova antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT ekaterinagrigorevskikh antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT lianaarazashvili antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT pavelpetruk antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview
AT svetlanatarasenko antibioticsefficiencyintheinfectioncomplicationspreventionafterthirdmolarextractionasystematicreview