PMID: 11933877Apr 6, 2002Paper

Oro-antral perforations. Desirability of antibiotic support in surgical closure within 24 hours

Nederlands tijdschrift voor tandheelkunde
R A Gortzak, I van der Waal

Abstract

The routine use of antibiotics in oro-antral perforations is advocated by a number of authors, in order to prevent post-operative complications such as sinusitis. Our aim was to establish wether the preventive use of antibiotics seams to be indicated in the closure of this perforations. A retrospective investigation. The department of Oral and Maxillofacial Surgery and Oral Pathology of the Academic Center for Dentistry Amsterdam (ACTA) and the Free University Hospital Amsterdam. In a retrospective study 46 patients have been investigated, 32 males and 14 females, who underwent a surgical closure of an oro-antral perforation in 1995, within 24 hours after its occurrence, in a department of oral and maxillofacial surgery. Twenty-two patients received preoperative antibiotics and 24 patients were treated without the use of antibiotics. Three (6.5%) patients had a post-operative sinusitis. In the other 43 patients there were no postoperative complications. The preventive use of antibiotics in oro-antral perforations in order to prevent post-operative complications such as sinusitis seams not to be indicated in the closure of this perforations. However, before a final conclusion on this matter can be drawn, a prospective randomized...Continue Reading

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