Institutional Repository in Medical Sciences
(IRMS – Nicolae Testemițanu SUMPh)

The reasonable postoperative drug therapy of patients with lower third molar impaction

Show simple item record

dc.contributor.author Moisei, Mihail
dc.date.accessioned 2020-07-07T12:16:22Z
dc.date.available 2020-07-07T12:16:22Z
dc.date.issued 2018
dc.identifier.citation MOISEI, Mihail. The reasonable postoperative drug therapy of patients with lower third molar impaction. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 246-247. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/11084
dc.description Department of Oral and Maxillofacial Surgery and Oral Implantology Arsenie Gutan, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova en_US
dc.description.abstract Introduction. Clinical forms of lower third molar impactions are extremely varied; generally erupt between the ages between 18 and 35 years old. In majority of cases, surgical treatment is supplemented with antimicrobial medication with the aim to reduce the risk of complications. Empirical prescribing of systemic antibiotics lead to increasing resistance of microorganisms and disruption of saprophytic microbial flora in organism. Aim of the study. Determining the effectiveness of anti-inflammatory medication after extraction in reducing the risk of complication, reducing the Celsian signs of inflammation and in the same time to avoid systemic use of antibiotics. Materials and methods. This study is a prospective record based study of the patients with symptomatic impacted mandibular third molars that were treated during 2017 and up to January 2018. The 60 panoramic radiographs and the patient’s clinical record files were retrieved for evaluation. To systematize the diagnosis and establish the difficulty degree of the surgery, there were taken measurements of the radiological space formed by the distal surface of the second molar and the temporal crest of the mandibular ramus. Also it was measured the mesio-distal diameter of the inferior third molar crown by introducing panoramic radiographs in Adobe Photoshop and making their digital analysis. The patients were devided in two research groups, according to the collected data. In 30 patients was performed lower third molar extraction with systemic use of antibiotics and in the other 30 patients were prescribed only anti-inflammatory drugs after the tooth extraction. Results. According to the obtained data at the end of the study, it was found that the impaction degree influences the surgical extraction method, as it determines the post-operative antimicrobial indications. In addition, there are no significant differences between the results of the two groups. Conclusions. The use of systemic anti-inflammatory therapy reduce the risk of complications, reduce postoperative swelling, reduce the trismus, but it does not have the same side effects of systemic administration of antibiotics, such as increasing resistance of microorganisms and intestinal flora disruption. en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject third molar en_US
dc.subject anti-inflammatory medication en_US
dc.subject antibiotic en_US
dc.title The reasonable postoperative drug therapy of patients with lower third molar impaction en_US
dc.type Article en_US


Files in this item

This item appears in the following Collection(s)

  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

Show simple item record

Search DSpace


Advanced Search

Browse

My Account

Statistics