Abstract
Not only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.
Highlights
Submitted: May 03, 2018 Accepted for publication: September 24, 2018 Last revision: November 05, 2018It is a common belief in the public eye and among dentists that extraction of acutely infected teeth should be avoided
alveolar osteitis (AO) was first described in 1896.3 It is an inflammatory process in the bone that develops between 2–4 days following tooth extraction
No statistically significant difference was found in amount of anesthetic solution used, duration of extractions, or AO incidence (p>0.05)
Summary
Submitted: May 03, 2018 Accepted for publication: September 24, 2018 Last revision: November 05, 2018. It is a common belief in the public eye and among dentists that extraction of acutely infected teeth should be avoided. Patients use antibiotics with or without prescription, which contributes to increased health care spending and the formation of antibiotic-resistant bacteria.[1] The main concerns for dentists in extracting infected teeth are anesthesia failure, dissemination of the infection to adjacent areas, hematogenous spread, and increased risk of alveolar osteitis (AO).[2]. Symptoms and findings include moderate or severe pain, loss of the clot from the extraction socket, exposed alveolar bone, and reddish gingiva around the socket.[3] AO incidence varies from 1 to 4% in routine
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