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매복된 하악 제 3대구치 발거시 항생제 및 진통제 투여의 효용성
THE PROPERTIES OF ANTIBIOTIC AND NSAIDS ADMINISTRATION BEFORE EXTRACT OF THE IMPACTED MANDIBULAR THIRD MOLAR.

길용갑    (제2기갑여단   ); 강희인    (한림대학교 의과대학 춘천성심병원 구강악안면외과   ); 김경수    (국군군의학교   ); 김재성    (한림대학교 의학과 대학원   ); 곽명호    (한림대학교 의학과 대학원   ); 서현수    (한림대학교 의과대학 강동성심병원 구강악안면외과   ); 홍순민    (한림대학교 의과대학 강동성심병원 구강악안면외과   ); 박준우    (한림대학교 의과대학 강동성심병원 구강악안면외과  );
  • 초록

    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.


  • 주제어

    Antibiotic .   NSAIDs .   Third molar .   Extraction.  

  • 참고문헌 (24)

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