Comparison and correlation of the factors affecting prevalence, intensity and nature of bacteremia during pre-operative, intra-operative and posto-operative period of trans-alveolar extraction of impacted mandibular third molar - An original research

Dr Gowri Balakrishnana, Dr JaganBabu Palaniappan, Dr Jagveer Singh Saluja, Dr Sharwan Kumar Singh, DR. Jeevanandam
 
Mercy Multispeciality Dental Centre, Department of Plastic Surgery, Kilpauk Medical College, Department of dentistry Shri Sathya Sai Medical College and Research Institute

Hellenic Archives of Oral & Maxillofacial Surgery (2021) 3, 165-182

DOI https://dx.doi.org/10.54936/​haoms223​165182

SUMMARY: Background: This study is done to compare and correlate the factors that would affect the prevalence, intensity, nature of bacteremia during pre-operative, intra-operative and aftermath trans-alveolar extraction of impacted mandibular third molar.
Aim: The aim of this study is to study the prevalence, nature, and intensity of bacteremia among the patients with no antibiotics administered prior to trans-alveolar extraction, with and with-out periapical and periodontal infections. Materials and methods: A prospective clinical study and microbiological assessment on blood culture was conducted at Department of oral and maxillo-facial surgery in 50 patients who underwent surgical removal of im- pacted mandibular third molar teeth. Immunocompro- mised patients, patients having temperature greater than 1000 F, bleeding disorders, patients on recent antibiotic medications were excluded from the study.
Results: On comparison of the pre-operative, intra- operative and post-operative intensity values, the intensity of bacteremia was significantly greater at the intra operative and post-extraction time than at the pre-extraction time. Conclusion: We conclude that the incidence, prevalence and the intensity of bacteremia during trans-alveolar ex- traction is more common in older patients and periodon- titis is more prevalent in patients with poor oral hygiene which in turn contributes to the intensity of bacteremia associated with trans-alveolar extraction of third molar. From this study, it is found that, the occurrence of bacteremia is increased with duration of the surgery, as in- cidence of bacteremia was high when the surgery lasted more than 35 minutes in general.

 
KEY WORDS: Bacteremia, impacted third molar, trans alveolar extraction, periodontal and peri-apical infections.


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Triannual medical Journal - The official publication of the Hellenic Association for Oral and Maxillofacial Surgery. ISSN 1108-829​X, ISSN (electronic) 2241-5939
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