ASSESSING THE NECESSITY OF ANTIBIOTICS AFTER LOWER WISDOM TOOTH REMOVAL: A COHORT STUDY

Background: Lower wisdom tooth removal is one of the most common surgical procedures, use of antibiotics after lower wisdom tooth removal is debatable since the excessive advent of drug-resistant bacteria Objective: The main purpose of this study was to examine the need for antibiotics used in routine after lower wisdom removal with osteotomy, Setting, Duration, Study Type: Research was conducted in the Oral and Maxillofacial Surgery OPD in AIDC over the period of 6 months. The study type is Cohort. Materials and Methods: This cohort study was conducted on 52 patients in the oral maxillofacial department. Each patient was recalled after 7 days of extraction. Eligibility criteria was patient between 21-60 years were considered for the study. Any patients with systemic disorder were excluded from the study. A clinical proforma was developed & validated which was then filled by 2 surgeons working in oral maxillofacial department along with consent form duly filled by every individual. Result: 36.5% were male and 63.5% were female out of 52 patients while majority of patient’s age were between 21-40. The majority of patients reported in OPD after vertical impacted wisdom extraction were with pain while only 2 patients came with pain & swelling, 1 with pain and pus and 1 with only swelling. Patients with swelling or pus had extraction of either horizontal or mesio-angular impaction having only 19% in combine. Majority of patient range under 31–40-year group. The majority in this group also came with pain while very few came with signs of infection. Conclusion: Current study suggests that if the patient is coming without any infection or any factors contributing to risk of infection and co-morbities for extraction of lower molar extraction, use of pre and post antibiotics operatively is not necessary.