Antibiotic prophylaxis in oral and maxillofacial surgery: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i1.39898

Keywords:

Antibiotics; Dentistry; Antimicrobials; Third molars.

Abstract

Infections that occur during the perioperative period of oral and maxillofacial surgeries are recurrent complications of daily dental practice. The selected antibiotic must be bactericidal and effective against the most common microorganisms that cause infection associated with the procedure to be performed. In this sense, this study aimed to review the literature about antibiotic prophylaxis in oral and maxillofacial surgery. For the construction of this article, a bibliographical survey was carried out in the databases SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect, with the help of the Mendeley reference manager. The articles were contemplated between the years 2000 to 2022. The main results show that the use of prophylactic antibiotics can reduce the risk of SSI in more complex and larger procedures, such as head and neck cancer surgery. On the other hand, when it comes to dentoalveolar surgery, the literature is still not clear about the effectiveness of prophylaxis with antimicrobials. For removal of third molars, antibiotic therapy is of uncertain benefit for healthy patients, but no evidence was found for patients with pre-existing systemic conditions. Overall, a multitude of different regimens were administered regardless of the respective surgical procedure.

References

Adalarasan, S., Mohan, A., & Pasupathy, S. (2010). Prophylactic Antibiotics in Maxillofacial Fractures: A Requisite? Journal of Craniofacial Surgery, 21(4). https://journals.lww.com/jcraniofacialsurgery/Fulltext/2010/07000/Prophylactic_Antibiotics_in_Maxillofacial.15.aspx

Blatt, S., & Al-Nawas, B. (2019). A systematic review of latest evidence for antibiotic prophylaxis and therapy in oral and maxillofacial surgery. In Infection (Vol. 47, Issue 4). Springer Berlin Heidelberg. https://doi.org/10.1007/s15010-019-01303-8

Danda, A. K., & Ravi, P. (2011). Effectiveness of postoperative antibiotics in orthognathic surgery: a meta-analysis. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 69(10), 2650–2656. https://doi.org/10.1016/j.joms.2011.02.060

Danda, A. K., Wahab, A., Narayanan, V., & Siddareddi, A. (2010). Single-dose versus single-day antibiotic prophylaxis for orthognathic surgery: a prospective, randomized, double-blind clinical study. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 68(2), 344–346. https://doi.org/10.1016/j.joms.2009.09.081

Gaal, A., Bailey, B., Patel, Y., Smiley, N., Dodson, T., Kim, D., & Dillon, J. (2016). Limiting Antibiotics When Managing Mandible Fractures May Not Increase Infection Risk. Journal of Oral and Maxillofacial Surgery, 74(10), 2008–2018. https://doi.org/10.1016/j.joms.2016.05.019

Habib, A. M., Wong, A. D., Schreiner, G. C., Satti, K. F., Riblet, N. B., Johnson, H. A., & Ossoff, J. P. (2019). Postoperative prophylactic antibiotics for facial fractures: A systematic review and meta-analysis. Laryngoscope, 129(1), 82–95. https://doi.org/10.1002/lary.27210

Hansen, D., Pollan, L. D., & Fernando, H. (2013). Fulminant Clostridium difficile Colitis: A Complication of Perioperative Antibiotic Prophylaxis. Journal of Oral and Maxillofacial Surgery, 71(11), 1880–1885. https://doi.org/https://doi.org/10.1016/j.joms.2013.04.035

Kamolratanakul, P., & Jansisyanont, P. (2018). A review of antibiotic prophylaxis protocols in oral and maxillofacial surgery. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 30(5), 395–404. https://doi.org/https://doi.org/10.1016/j.ajoms.2018.03.008

Knepil, G. J., & Loukota, R. A. (2010). Outcomes of prophylactic antibiotics following surgery for zygomatic bone fractures. Journal of Cranio-Maxillofacial Surgery, 38(2), 131–133. https://doi.org/https://doi.org/10.1016/j.jcms.2009.03.015

Lang, M. S., Gonzalez, M. L., & Dodson, T. B. (2017). Do Antibiotics Decrease the Risk of Inflammatory Complications After Third Molar Removal in Community Practices? Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 75(2), 249–255. https://doi.org/10.1016/j.joms.2016.09.044

Lee, J. Y., Do, H. S., Lim, J. H., Jang, H. S., Rim, J. S., Kwon, J. J., & Lee, E. S. (2014). Correlation of antibiotic prophylaxis and difficulty of extraction with postoperative inflammatory complications in the lower third molar surgery. British Journal of Oral and Maxillofacial Surgery, 52(1), 54–57. https://doi.org/10.1016/j.bjoms.2013.08.010

López-Cedrún, J. L., Pijoan, J. I., Fernández, S., Santamaria, J., & Hernandez, G. (2011). Efficacy of Amoxicillin Treatment in Preventing Postoperative Complications in Patients Undergoing Third Molar Surgery: A Prospective, Randomized, Double-Blind Controlled Study. Journal of Oral and Maxillofacial Surgery, 69(6), e5–e14. https://doi.org/https://doi.org/10.1016/j.joms.2011.01.019

Milic, T., Raidoo, P., & Gebauer, D. (2021). Antibiotic prophylaxis in oral and maxillofacial surgery: a systematic review. British Journal of Oral and Maxillofacial Surgery, 59(6), 633–642. https://doi.org/10.1016/j.bjoms.2020.09.020

Mottini, M., Wolf, R., Soong, P. L., Lieger, O., Nakahara, K., & Schaller, B. (2014). The role of postoperative antibiotics in facial fractures: Comparing the efficacy of a 1-day versus a prolonged regimen. Journal of Trauma and Acute Care Surgery, 76(3). https://journals.lww.com/jtrauma/Fulltext/2014/03000/The_role_of_postoperative_antibiotics_in_facial.21.aspx

Pereira, A., Shitsuka, D., Parreira, F., & Shitsuka, R. (2018). Método Qualitativo, Quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 28 março 2020.

Perepa, A., Sinha, R., Agarwal, A., & Khan, T. A. (2018). Protocol for Antibiotic Administration in Mandibular Trauma: A Prospective Clinical Trial. Journal of Maxillofacial and Oral Surgery, 17(1), 19–23. https://doi.org/10.1007/s12663-016-0964-9

Sayd, S., Vyloppilli, S., Kumar, K., Subash, P., Kumar, N., & Raseel, S. (2018). Comparison of the efficacy of amoxicillin-clavulanic acid with metronidazole to azithromycin with metronidazole after surgical removal of impacted lower third molar to prevent infection. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 44(3), 103–106. https://doi.org/10.5125/jkaoms.2018.44.3.103

Tan, S. K., Lo, J., & Zwahlen, R. A. (2011). Perioperative antibiotic prophylaxis in orthognathic surgery: a systematic review and meta-analysis of clinical trials. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 112(1), 19–27. https://doi.org/10.1016/j.tripleo.2010.07.015

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Published

13/01/2023

How to Cite

AFONSO, Áquila de O. .; ARAÚJO, F. R. da C.; ALVES, A. B. L. .; SILVA, E. da .; ALVARENGA , A. C. C. .; SILVA, G. C. da .; MEDEIROS , A. D. de .; LOPES , D. M. de M. .; SILVA, T. S. da .; SILVA, P. R. L. Antibiotic prophylaxis in oral and maxillofacial surgery: an integrative review. Research, Society and Development, [S. l.], v. 12, n. 1, p. e16612139898, 2023. DOI: 10.33448/rsd-v12i1.39898. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/39898. Acesso em: 27 nov. 2024.

Issue

Vol. 12 No. 1

Section

Health Sciences

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Copyright (c) 2023 Áquila de Oliveira Afonso; Felipe Rafael da Cunha Araújo; Anna Beatriz Luciano Alves; Evanio da Silva; Ana Claudia Cordeiro Alvarenga ; Genilson Campos da Silva; Anderson Dilly de Medeiros ; Débora Martins de Moura Lopes ; Tatiana Santos da Silva; Paulo Reis Lião Silva

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