Evidence map›Paper›PMID 39966906›Full record

SynthesisBMC oral health2025

Optimal treatment time with systemic antimicrobial therapy in odontogenic infections affecting the jaws: a systematic review.

Eduardo Dias Ribeiro, Ilan Hudson Gomes de Santana, Mayara Rebeca Martins Viana, Song Fan, Abdo Mohamed, Julliana Cariry Palhano Dias, Anderson Gomes Forte, José Marcos Pereira Júnior, Anderson Jara Ferreira, Eduardo Sant'Ana

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Infraorbital extension of odontogenic infection mimicking dacryocystitis.Journal of conservative dentistry and endodontics · 2026
    Article
  4. Article
  5. Canada's "American-style" dental health system.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  6. Review
  7. 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

10 authors.

Eduardo Dias RibeiroDepartment of Clinical and Social Dentistry (DCOS), Health Sciences Center at the Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.
Ilan Hudson Gomes de SantanaHealth Sciences Center, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil. ilan.hudson@academico.ufpb.br.
Mayara Rebeca Martins VianaHealth Sciences Center, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.
Song FanDepartment of Oral and Maxillofacial Surgery, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangzhou, 510120, People's Republic of China.
Abdo MohamedDepartment of Oral and Maxillofacial Surgery, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangzhou, 510120, People's Republic of China.
Julliana Cariry Palhano DiasParaíba State Employees Health Care Institute - IASS, João Pessoa, Paraíba, Brazil.
Anderson Gomes ForteHealth Sciences Center, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.
José Marcos Pereira JúniorHealth Sciences Center, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil.
Anderson Jara FerreiraGeneral Hospital of Juiz de Fora, Minas Gerais, Brazil.
Eduardo Sant'AnaBauru School of Dentistry at the University of São Paulo (FOBUSP), Bauru, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aimed to analyze the existing literature to determine the most effective and safe duration of antimicrobial treatment in odontogenic infections of the mandible, addressing a critical gap in clinical guidelines regarding optimal treatment duration. MATERIALS AND

methodsA systematic review protocol was registered in PROSPERO (CRD42024551258), and a comprehensive search was conducted in databases including PubMed, Web of Science, Scopus, ScienceDirect, Embase, and Google Scholar for articles published up to June 16, 2024. Randomized clinical trials (RCTs) evaluating different durations of antimicrobial treatment were prioritized.

resultsThe database search yielded 3,446 articles. After removing duplicates using Rayyan© software, 2,653 articles remained, of which 26 met the inclusion criteria. Following a thorough evaluation, 8 studies were deemed highly relevant and included in the final analysis. The findings suggest that shorter antibiotic regimens, typically ranging from 3 to 5 days, are effective when combined with surgical interventions, minimizing complications and bacterial resistance.

conclusionsThe evidence indicates that the choice of antibiotic regimen and its duration should be tailored to the patient's clinical condition, the severity of the infection, and local bacterial resistance patterns. While amoxicillin and its derivatives are effective for most cases, alternative antibiotics such as ciprofloxacin or metronidazole may be more suitable in specific scenarios. These findings highlight the importance of individualized treatment plans and the need for further randomized clinical trials to refine evidence-based guidelines.

Indexed as

Anti-Bacterial AgentsAnti-Infective AgentsHumansTime FactorsAnti-Bacterial AgentsAnti-Infective AgentsAnti-Bacterial AgentsBacterial InfectionsMaxillary Diseases AND DentistryOral Surgical Procedures

Identifiers

PMID39966906
PMCPMC11834263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.