Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 12–18
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ANTIBIOTIC PROPHYLAXIS FOR PREVENTION OF POSTOPERATIVE INFECTIONS FOLLOWING IMPACTED TOOTH REMOVAL: A COMPREHENSIVE REVIEW

Ahtesham Ahmad Qurishi*

Received: 2026-04-08 · Published: 2025-06-10

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
ANTIBIOTIC PROPHYLAXIS FOR PREVENTION OF POSTOPERATIVE INFECTIONS FOLLOWING IMPACTED TOOTH REMOVAL: A COMPREHENSIVE REVIEW
Author
Ahtesham Ahmad Qurishi
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-06-10
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.5-12

Abstract

Numerous controversies exist about the use of antibiotics for third molar extraction which stands as a prevalent oral surgical intervention. The review analyzes present data about antibiotic preventative measures following procedures involving impacted teeth extraction. Randomized trials combined with systematic reviews support that providing antibiotics before treatment reduces infection possibilities between 34% and 66%. Patients require antibiotic prophylaxis when their surgery involves deep impactions and belongs to older age groups with lengthy procedures including complex surgeries. Amoxicillin along with its combination form amoxicillin/clavulanic acid continue to be the preferred antibiotic medications but they present unique advantages and disadvantages. No research-based findings indicate that healthy patients need prophylactic medications before having uncomplicated extractions. Medical practitioners should maintain a balance between protecting patients from infection while managing antibiotic usage and evaluate individual patient characteristics for determining appropriate preventive therapies.
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