DON’T routinely PRESCRIBE antibiotic in patients undergoing dental extractions

Type of practice

Drugs

Topic Area

Odontostomatology

In case of low-complexity tooth extractions and in absence of infectious risk conditions, antibiotics should not be indiscriminately prescribed. However, it is recommended to adopt local antiseptic measures (antiseptics mouthwashes, sprays or gels) before and after the dental procedure. Good practice: to prescribe antibiotics considering appropriate formulation, dosage and duration of therapy only in cases of HIGHER COMPLEXITY dental procedures.

Sources

1. Lawler B, Sambrook PJ, Goss AN. Antibiotic prophylaxis for dentoalveolar surgery: is it indicated? Aust Dent J. 2005 Dec;50(4 Suppl 2):S54-9.
2. Poeschl PW, Eckel D, Poeschl E. Postoperative prophylactic antibiotic treatment in third molar surgery--a necessity? J Oral Maxillofac Surg. 2004 Jan;62(1):3-8.
3. Tong DC, Rothwell BR. Antibiotic prophylaxis in dentistry: a review and practice recommendations. J Am Dent Assoc. 2000 Mar;131(3):366-74.
4. Hill M. No benefit from prophylactic antibiotics in third molar surgery. Evid Based Dent. 2005;6(1):10.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.