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Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data

Department of Biomedical and Dental Sciences, Morphological and Functional Images, School of Dentistry, University of Messina, 98100 Messina, Italy
Department of General Surgery and Medical Surgery Specialties, University of Catania, 95100 Catania, Italy
Department of Maxillofacial Surgery, Loma Linda University, Loma Linda, CA 92354, USA
Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy
Author to whom correspondence should be addressed.
Received: 8 April 2019 / Revised: 29 April 2019 / Accepted: 30 April 2019 / Published: 2 May 2019
(This article belongs to the Special Issue Antibiotics and Antimicrobials in Dentistry)
The aim of this paper was to highlight the most widely antibiotic protocols applied to the dental field, especially in the surgical treatment of impacted wisdom teeth. Once these protocols were screened, all the possible advantages or disadvantages for each drug and each posology were recorded in this review. In recent years, the need to use these protocols has been debated in the literature. The data obtained by this review underlined how antibiotic protocols applied to oral surgery treatments only included surgeries performed on patients who did not present other systemic pathologies. The first literature review obtained 140 results, and then after the application of the inclusion criteria, 12 papers were selected. The results showed that the most commonly used protocol involved the use of penicillin and clavulanate, obtaining safe clinical and prophylactic results in the management of infections. This widely used protocol seems to guarantee high predictability and safety. The presented review highlights the current possibility of antibiotic resistance affecting patients due to drug misuse. Further clinical studies are required to state specific guidelines; however, oral surgeons involved in third molar surgery should evaluate the local and general health conditions of the patients before suggesting any drug measures for patients. View Full-Text
Keywords: third molar; oral surgery; extraction; antibiotic; prophylaxis third molar; oral surgery; extraction; antibiotic; prophylaxis
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MDPI and ACS Style

Cervino, G.; Cicciù, M.; Biondi, A.; Bocchieri, S.; Herford, A.S.; Laino, L.; Fiorillo, L. Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data. Antibiotics 2019, 8, 53.

AMA Style

Cervino G, Cicciù M, Biondi A, Bocchieri S, Herford AS, Laino L, Fiorillo L. Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data. Antibiotics. 2019; 8(2):53.

Chicago/Turabian Style

Cervino, Gabriele, Marco Cicciù, Antonio Biondi, Salvatore Bocchieri, Alan S. Herford, Luigi Laino, and Luca Fiorillo. 2019. "Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data" Antibiotics 8, no. 2: 53.

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