J Korean Assoc Maxillofac Plast Reconstr Surg.  2009 Nov;31(6):505-509.

The Properties of Antibiotic and NSAIDs Administration Before Extract of the Impacted Mandibular Third Molar.

• Kil YK
• Kang HI
• Kim KS
• Kim JS
• Kwak MH
• Seo HS
• Hong SM
• Park JW

Abstract

PURPOSE
To evaluate the properties of antibiotic and NSAIDs administration before extract of the impacted mandibular third molar. MATERIALS&METHODS: No patient showed any sign of pain, inflammation, or swelling at the time of removal. A group of 50 patients was classified in Group 1( preemptive and oral medication was carried out for 3 days postoperatively, N=23) and Group 2(oral medication was carried out for 3 days postoperatively, N=27) subgroups. Clinical and radiologic factors were recorded for each case, and the rationale for assigning the patients to the groups was strictly random. The surgical technique was the same in all cases, and the follow-up period was 1 week. Parameters that were evaluated were infection, swelling, pain and differences in mouth opening.
RESULTS
We could not find any significant difference between the 2 groups regarding the evaluated parameters.
CONCLUSION
The results of our study show that antibiotic and NSAIDs administration before the removal of lower third molars does not contribute to a decrease infection, swelling, pain or increase mouth opening. Therefore antibiotic and NSAIDs administration before the removal of lower third molars is not recommended for routine use.

Keyword

Antibiotic; NSAIDs; Third molar; Extraction

MeSH Terms

Anti-Inflammatory Agents, Non-Steroidal
Follow-Up Studies
Humans
Inflammation
Molar, Third
Mouth
Anti-Inflammatory Agents, Non-Steroidal