Estudio comparativo entre utilización de profilaxis antibiótica vs antibióticoterapia postextracción en la cirugía de terceros molares en pacientes de la Facultad de Odontología

Abstract

Objective: The aim of this study was to compare the efficacy of antibiotic prophylaxis vs postoperative antibiotic therapy for 7 days as a preventive method of infection in included and semi included third molars surgery. Materials and methods: A observational descriptive study was done in 30 patients who were treated in the Surgery area of the Dentistry school at the University of Cuenca in the period of March - June 2015; randomly divided into group A (n = 15) who received antibiotic prophylaxis with 2 g of amoxicillin one hour before the intervention and group B (n = 15) who received antibiotic therapy of 500 mg of amoxicillin with clavulanic acid 125 mg orally every eight hours for seven days. Clinical signs (edema, erythema, pain, lymphadenopathy, general discomfort, purulent exudate, fever) were evaluated at 8 and 15 days after the surgery. Results: No statistically significant difference was found evaluating Clinical signs of infection between the two groups of the study and there were not any patient that presented purulent exudate, fever, lymphadenopathy or general discomfort. Conclusions: The use of prophylactic antibiotics as a preventive method of oral infection after surgery of included and semi Included third molars in ASA I patients was as effective as antibiotic therapy for 7 days