2023, Number 2
<< Back Next >>
Rev ADM 2023; 80 (2)
Effectiveness of the trans-operative use of electrolyzed superoxidation solution for the prevention of post-operative infections in third molar surgery.
Carrasco RCA, Vinitzky BI, Rodríguez CE
Language: Spanish
References: 21
Page: 76-81
PDF size: 200.71 Kb.
ABSTRACT
Third molar surgery is one of the most performed procedures in dental practice, generally involving the prescription of drugs including antibiotics indicated to prevent the onset of infectious processes. Antimicrobial resistance is considered a public health problem worldwide, so the use of antibiotics should be cautious. The electrolyzed super oxidation solution has been shown to have bactericidal and virucidal effects and has been used for the prevention and treatment of infectious processes. The objective of the present study was to demonstrate the effectiveness of said solution in the prevention of infections after third molar surgery. A randomized, blind, prospective study was conducted in 20 patients using a split mouth design where each patient was a control and experimental subject, in the control group they were irrigated during the procedure with super oxidation solution and no subsequent antibiotic was prescribed. while the control group was irrigated with physiological solution and a subsequent antibiotic was prescribed. Forty surgeries were performed on 20 patients using both therapies in each patient. Postoperative pain, inflammation and presence of infection were analyzed. Pain and inflammation were slightly higher in the experimental group on third day, however on seventh day the results were similar. There were no cases of postoperative infection. The use of trans operative super oxidation solution can be a very useful tool in the prevention of postoperative infections after third molar surgery in healthy patients undergoing surgeries with mild to moderate difficulty.
REFERENCES
Moreno, A; Gómez, J. Terapia antibiótica en odontología de práctica general. Revista ADM. 2012; 69 (4): 168-175.
Marston HD, Dixon DM, Knisely JM, Palmore TN, Fauci AS. Antimicrobial resistance. JAMA. 2016; 316 (11): 1193-1204.
MacGowan A, Macnaughton E. Antibiotic resistance. Medicine, 2017; 45 (10): 622-628.
Cubas-Jaeger JL, Asmat-Abanto AS. Amoxicilina para prevenir la infección postexodoncia de terceros molares incluidos: ensayo clínico aleatorizado. Rev Esp Cirug Oral y Maxilofac. 2016; 38 (4): 188-192.
Cervino G, Cicciù M, Biondi A, Bocchieri S, Herford AS, Laino L, Fiorillo L. Antibiotic prophylaxis on third molar extraction: systematic review of recent data. Antibiotics (Basel). 2019; 8 (2): 53.
Al-Asfour A. Postoperative infection after surgical removal of impacted mandibular third molars: an analysis of 110 consecutive procedures. Med Princ Pract. 2009; 18 (1): 48-52.
Rohit S, Praveen-Reddy B. Efficacy of postoperative prophylactic antibiotic therapy in third molar surgery. J Clin Diagn Res. 2014; 8 (5): ZC14–ZC16.
Sweeney LC, Dave J, Chambers PA, Heritage J. Antibiotic resistance in general dental practice--a cause for concern? J Antimicrob Chemother. 2004; 53 (4): 567-576. Available in: https://doi.org/10.1093/jac/dkh137
Estericide® solución antiséptica. Esteripharma. Vademecum, 2018. [Internet] Disponible en: https://mx.prvademecum.com/medicamento/estericide-solucion-antiseptica-10841/
Coello-Gómez A, Navarro-Suárez S, Diosdado-Cano JM, Azcárate-Velazquez F, Bargiela-Pérez P, Serrera-Figallo MA, Torres-Lagares D, Gutiérrez-Pérez JL. Postoperative effects on lower third molars of using mouthwashes with super-oxidized solution versus 0.2% chlorhexidine gel: A randomized double-blind trial. Med Oral Patol Oral Cir Bucal. 2018; 23 (6): e716-e722.
Nachón GFJ, Díaz TJ, Benítez OF, García GF, Santiago GJ, Martínez CAJ. Lavado peritoneal transoperatorio con solución electrolizada por selectividad iónica en peritonitis secundaria. Cir Gen. 2010; 32: 11-16.
Organización Mundial de la Salud. Resistencia a los antimicrobianos. Feb-2018. [Internet]; Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/resistencia-a-los-antimicrobianos
Siddiqi A, Morkel JA, Zafar S. Antibiotic prophylaxis in third molar surgery: A randomized double-blind placebo-controlled clinical trial using split-mouth technique. Int J Oral Maxillofac Surg. 2010; 39 (2): 107-114.
Izuzquiza I, Jamtoy KA, Fossland NP, Martínez-Padilla I, Falahat F, Alou L et al. ¿Está indicada la prescripción de antibióticos en la extracción del tercer molar retenido?: Estudio comparativo entre patrones de prescripción. Rev Esp Quimioter. 2017; 30: 34-39.
Arora A, Roychoudhury A, Bhutia O, Pandey S, Singh S, Das BK. Antibiotics in third molar extraction; are they really necessary: a non-inferiority randomized controlled trial. Natl J Maxillofac Surg. 2014; 5 (2): 166-171.
Leal de Moura W, Leal de Moura W, Rodrigues-Freire SA, Moura-Mendes S, Olate S. Eficacia del tratamiento con amoxicilina en la prevención de complicaciones postoperatorias en pacientes sometidos a cirugía del tercer molar: un estudio doble ciego. Int J Odontostomat. 2011; 5 (2): 147-152.
Cho H, Lynham AJ, Hsu E. Postoperative interventions to reduce inflammatory complications after third molar surgery: review of the current evidence. Australian Dental Journal. 2017; 62 (4): 412-419.
Monaco G, Tavernese L, Agostini R, Marchetti C. Evaluation of antibiotic prophylaxis in reducing postoperative infection after mandibular third molar extraction in young patients. J Oral Maxillofac Surg. 2009; 67 (7): 1467-1472.
Adde CA, Soares MS, Romano MM, Carnaval TG, Sampaio RM, Aldarvis FP, Federico LR. Clinical and surgical evaluation of the indication of postoperative antibiotic prescription in third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114 (5 Suppl): S26-31.
González-A LD. El uso de antibióticos para prevenir infecciones postoperatorias en extracciones de terceros molares: revisión de literatura. Revista electrónica de la Facultad de Odontología, ULACIT- Costa Rica. 2002; 5:
Ramos E, Santamaría J, Santamaría G, Barbier L, Arteagoitia I. Do systemic antibiotics prevent dry socket and infection after third molar extraction? A systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 122 (4): 403-425.