ArticleNational journal of maxillofacial surgery
Effect of prophylactic antimicrobial therapy in orthodontic tooth extractions: A randomized controlled trial.
Article in National journal of maxillofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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7 authors.
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Abstract
Introduction: The use of antibiotics postdental extraction is quite prevalent, leading to widespread healthcare crisis, antimicrobial resistance (AMR). Judicious use of these antibiotics can prevent the onset of adverse events and enhance the positive patient outcome. The role of antibiotic therapy in orthodontic extraction of premolars among the healthy cohorts is unclear, requiring due consideration. Materials and Methods: The prospective study explores the role of prophylactic antibiotic in orthodontic extraction of premolar teeth. Forty-four patients were randomly divided into two groups: group A included 23 patients receiving Amoxicillin 500 mg, while group B included 21 patients receiving Lactose capsule (placebo), for 3 days postextraction. Postextraction the patients were evaluated for postoperative wound healing using Landry scale at day 3, day 10, and day 21. Pain scores were evaluated using 100 mm Visual Analog Scale at day 10. Results: This study showed better wound healing in group A (3.74 ± 0.45) compared to group B (3.05 ± 0.22) ( Conclusion: Similar wound healing progression across both the groups along with similar pain control challenges the need for antibiotic therapy in orthodontic extraction of healthy teeth. The rising AMR has led to equivocal increase in opportunist infections, requiring the healthcare professionals to judiciously use the antibiotics.
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