Evidence map›Paper›PMID 40136735›Full record

ReviewDentistry journal2025

Antibiotic Prescription for the Prevention of Postoperative Complications After Third-Molar Extractions: A Systematic Review.

Nicola De Angelis, Lorenzo Denegri, Ioana Cristina Miron, Catherine Yumang, Paolo Pesce, Domenico Baldi, Francesca Delucchi, Francesco Bagnasco, Maria Menini

Abstract readReview
In one paragraph

Review in Dentistry journal, 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. Trial
  2. Trial
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  4. Review
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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

9 authors.

Nicola De AngelisDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.ORCID 0000-0001-8622-4328
Lorenzo DenegriDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.
Ioana Cristina MironPrivate Practice, 010001 Bucharest, Romania.
Catherine YumangPrivate Practice, 15011 Acqui Terme, Italy.
Paolo PesceDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.ORCID 0000-0001-8726-4145
Domenico BaldiDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.
Francesca DelucchiDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.
Francesco BagnascoDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.
Maria MeniniDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16121 Genoa, Italy.ORCID 0000-0001-6503-1201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThird-molar extractions are common procedures often complicated by infections and alveolitis. The use of antibiotics as prophylaxis to prevent these complications is debated due to potential risks and side effects. Therefore, the aim of the present systematic review was to determine the efficacy of antibiotic prescription for the prevention of these complications.

methodsA comprehensive literature search was conducted in MEDLINE/PubMed, Cochrane, and SCOPUS databases up until June 2024. The focused question was "Does the antibiotic prescription influence the incidence of postoperative complications following third-molar extractions in healthy patients?" Systematic reviews assessing complications after third-molar extractions were included.

resultsA total of 16 studies were included, revealing that antibiotic use significantly reduces infection risk and dry socket incidence compared to no prescription. Amoxicillin-clavulanic acid was particularly effective.

conclusionsAntibiotics, especially amoxicillin-clavulanic acid, are effective in preventing postoperative infections and alveolitis after third-molar extraction. However, their administration should be carefully considered to balance benefits against potential risks. Evidence supports the judicious use of antibiotics in dental surgery to optimize patient outcomes, minimizing possible adverse effects and the risk of developing antibiotic resistance.

Indexed as

antibiotic prophylaxisantibiotic therapydry socketextractionthird molar

Identifiers

PMID40136735
PMCPMC11941164

What OpenQuestion holds

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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.