Evidence map›Paper›PMID 35409861›Full record

Trial reportInternational journal of environmental research and public health2022

A Comparison of Pre-Emptive Co-Amoxiclav, Postoperative Amoxicillin, and Metronidazole for Prevention of Postoperative Complications in Dentoalveolar Surgery: A Randomized Controlled Trial.

Giath Gazal, Khalid H Al-Samadani, Hamdi Mohammed Alsaidalani, Ghofran Ali Karbouji, Abdullah Mohammed Alharbi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Giath GazalDepartment of Oral and Maxillofacial Surgery, Taibah University, Al Madinah Al Munawwarah 42353, Saudi Arabia.
Khalid H Al-SamadaniDepartment of Restorative Dental Science, College of Dentistry, Taibah University, Al Madinah Al Munawwarah 42353, Saudi Arabia.
Hamdi Mohammed AlsaidalaniDepartment of Oral and Maxillofacial Surgery, Taibah University, Al Madinah Al Munawwarah 42353, Saudi Arabia.
Ghofran Ali KarboujiDepartment of Oral and Maxillofacial Surgery, Taibah University, Al Madinah Al Munawwarah 42353, Saudi Arabia.
Abdullah Mohammed AlharbiDepartment of Oral and Maxillofacial Surgery, Taibah University, Al Madinah Al Munawwarah 42353, Saudi Arabia.
Taibah University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effectiveness of different oral antibiotics for prevention of dry socket and infection in adults following the surgical extraction of teeth under LA.

methodsThis randomized controlled study was conducted from 10 September 2020 until 10 May 2021. Forty-six patients were randomly allocated to three groups. Sixteen patients were in the postoperative co-amoxiclav (625 mg) group, fifteen in the preoperative co-amoxiclav (625 mg) plus postoperative metronidazole (500 mg) group and fifteen in the preoperative co-amoxiclav (625 mg) plus postoperative amoxicillin (500 mg) group. Evaluation of the postoperative signs of alveolar osteitis and infection was made by a dental surgeon five days postoperatively. Evaluation of the post-surgical extraction pain was made by patients immediately and five days postoperatively on standard 100 mm visual analogue scales (VAS). Furthermore, difficulty of surgery was recorded for all patients immediately postoperatively using (VAS).

resultsall antibiotics used in this study were effective. Only 15% of patients had painful alveolar osteitis and 2% had oral infections. There was no significant decrease in the number of patients with severe alveolar osteitis or infection for co-amoxiclav plus metronidazole and co-amoxiclav plus amoxicillin groups compared to co-amoxiclav group at 5 days post-operation (

conclusionsAdministration of a single preoperative dose of co-amoxiclav with a full postoperative dose of amoxicillin or metronidazole was more effective than conventional treatment with postoperative co-amoxilcalv in reducing the incidence of both alveolar osteitis and infection after surgical extractions. However, these differences were not statistically significant. Interestingly, patients in metronidazole group had the lowest incidence of dry socket.

Indexed as

Dry SocketAdultAmoxicillinAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsHumansMetronidazoleMolar, ThirdPostoperative ComplicationsPostoperative PainAmoxicillinAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsMetronidazoledry socketoral antibioticssurgical dental extraction

Identifiers

PMID35409861
PMCPMC8998378
OpenAlexW4220735420

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.