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Related Experiment Video

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Experimental Model of Ligature-Induced Peri-Implantitis in Mice

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Antibiotic's effectiveness after erupted tooth extractions: A retrospective study.

Antonio Barone^1,2, Sibylle Chatelain³, Giacomo Derchi⁴

¹Department of Surgical, Medical and Molecular Pathologies and of the Critical Area, School of Dental Medicine, University-Hospital of Pisa, Pisa, Italy.

|February 7, 2020

Summary

Antibiotics do not prevent alveolitis after erupted tooth extractions. This study found no benefit in using antibiotics to reduce the incidence of dry socket following dental procedures.

Keywords:

alveolitis antibiotic resistance antibiotics tooth extractions

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Area of Science:

Oral surgery
Pharmacology
Postoperative complications

Background:

Alveolitis, commonly known as dry socket, is a painful postoperative complication following tooth extractions.
The prophylactic use of antibiotics to prevent alveolitis is a debated topic in dental practice.

Purpose of the Study:

To evaluate the effectiveness of antibiotic use in preventing alveolitis after erupted tooth extractions.
To identify potential patient-related factors associated with alveolitis development.

Main Methods:

Retrospective analysis of 418 patients undergoing erupted tooth extractions across three centers.
Review of patient medical records to assess antibiotic usage and postoperative outcomes.
Comparison of alveolitis incidence between patients who received antibiotics and those who did not.

Main Results:

A total of 12 cases of alveolitis were reported (2.87% incidence).
The incidence of alveolitis was similar in patients who received antibiotics (2.14%) and those who did not (4.35%).
No significant association was found between patient characteristics and alveolitis development.

Conclusions:

Antibiotic prophylaxis does not appear to be beneficial in preventing alveolitis after erupted tooth extractions.
Further large-scale, prospective, and randomized controlled trials are recommended to confirm these findings and guide clinical practice.