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This is a bit of a tricky question to answer accurately. However i shall do my best.
Firstly the need for prophylactic antibiotics depends on systemic status of the patient. For example in a patient at risk for infective endocarditis, i would certainly recommend preoperative antibiotics, as per the guidelines issues by the American College of Cardiologists/ British Society for Antimicrobial Chemotherapy and various other national and international bodies.
Similarly for patients with uncontrolled diabetes requiring third molar extraction, i believe it is better to do the extraction under antibiotic coverage, however this is debatable. In my personal opinion i feel it is better to be safe by giving antibiotics, rather than deal with possible postoperative infections in a uncontrolled diabetic patient.
However if you're question pertains specifically to systemically healthy patients, then the use of preoperative antibiotics is not justified unless there is pericoronitis and systemic symptoms(fever+lympadenopathy) associated with the impacted third molar.
Hope i have answered the question. :)
Unjustified prescription of Antibiotics has become a grave concern universally resulting in resistance to Antibiotics.
As some dentists still prefer to prescribe routine antibiotics without valid reasons especially pre op. before disimpacting3 Molars.
Prescription of preoperative antibiotics depends on individual case.
Presence of local infection,,swelling .also systemic infection /conditions whichwould need preop medications.
Also prefer to use i Diabetic cases to prevent post operative complications and faster healing and recovery.
Routinely, Nothe antibiotic usage according to NICE Guidelines is limited and for routinely dis-impacting 3rd molar the antibiotic never be used except in severe cases as there is a spread of infection in more than 1 or 2 spaces or uncontrolled Diabetic with MEdical Report for taking Antibiotic from GMP... etc
hello,there is no need to use antibiotics only in cases were the patient have a systemic disease ,or a local infection
if the patiant is healthy and the surgery can be done without contamination or truma ,i prefer not to prescribing antibiotics
i would not prescribe a prophylactic antibiotic for any case of impacted wisdome tooth removal. if the patient is fit and healthy, with no systemic manifestations or spreading infection, and if the case does not require removal of substantial amount of bone, then there would be no need. antibiotics are needed however if the patient was immunocompromised, there was infection at the site of operation or spreading infection, or the surgery was long with extensive removal of bone
No I wouldn't prefer that as antibiotics mustn't be used routinely but ther are used in certain cases for example patient with systemi disease
Firstly the need for prophylactic antibiotics depends on systemic status of the patient. For example in a patient at risk for infective endocarditis, i would certainly recommend preoperative antibiotics, as per the guidelines issues by the American College of Cardiologists/ British Society for Antimicrobial Chemotherapy and various other national and international bodies.
No need.
Only in cases of very difficult extractions when tissue exposure is long and bone is removed `a single dose of antibiotics should be prescribed (2g of Amoxocillini immediately after surgery and1g5-7hours later).
