Evaluation of the Effect of Antibiotic Prophylaxis (2g Amoxicillin One Hour Before Surgery) on an Inflammatory Factor (PGE2) in Salivary Samples After Third Molars Surgery

Summary

This clinical trial aims to evaluate the impact of antibiotics on inflammation and pain in patients who have undergone mandibular third molar surgery. The primary research questions are: 1. Do antibiotics reduce pain following third molar surgery? 2. Do antibiotics influence facial swelling and the patient\'s ability to open their mouth? 3. Do antibiotics affect the levels of a specific inflammatory marker in saliva post-surgery? Participants will be randomly assigned to receive either antibiotic capsules or placebo capsules. The study will include the following procedures: Medication: Participants will take four capsules (either antibiotics or placebo) as part of their standard surgical care. Saliva Samples: Saliva samples will be collected at three time points: before surgery, 24 hours after surgery, and 7 days post-surgery. Measurements: Facial swelling and mouth opening will be assessed by the investigator at each time point. By comparing the outcomes between the antibiotic and placebo groups, researchers aim to determine the effectiveness of antibiotics in managing post-surgical inflammation and pain.

Timeline

Start

2023-10-05

Primary completion

2024-05-27

Completion

2024-07-25

Publications

• Background Torof E, Morrissey H, Ball PA. The Role of Antibiotic Use in Third Molar Tooth Extractions: A Systematic Review and Meta-Analysis. Medicina (Kaunas). 2023 Feb 21;59(3):422. doi: 10.3390/medicina59030422.
• Background Mehra P, Reebye U, Nadershah M, Cottrell D. Efficacy of anti-inflammatory drugs in third molar surgery: a randomized clinical trial. Int J Oral Maxillofac Surg. 2013 Jul;42(7):835-42. doi: 10.1016/j.ijom.2013.02.017. Epub 2013 Mar 25.

Drugs

Indications

No indication recorded.