Microbiota of alveolar osteitis after permanent tooth extractions: A systematic review

Riba-Terés, N.; Jorba-García, Adrià; Toledano‐Serrabona, Jorge; Aguilar-Duran, Laura; Figueiredo, Rui; Valmaseda‐Castellón, Eduard

doi:10.1016/j.jormas.2020.08.007

Cited by 18 publications

(19 citation statements)

References 30 publications

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“…Previous studies have indicated that bacteria may play an important role in the pathogenesis of AO [9]. In our study, the post-operative recovery was uneventful, and no surgical sites showed any signs of infection or mucositis.…”

Section: Discussionsupporting

confidence: 63%

“…AO is still poorly understood and different factors have been reported as being predisposing factors for the development of dry socket, relating either to the patient, such as age, gender, smoking habit, or the use of oral contraceptives, or to a traumatic surgical extraction or previous infection [6][7][8]. Additionally, the microbiota of patients who develop AO probably play an important role in the pathogenesis of this complication [9]. Although the underlying etiology remains unclear, dry socket is related to an alteration in the formation of the blood clot.…”

Section: Introductionmentioning

confidence: 99%

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Advanced Platelet-Rich Fibrin as a Therapeutic Option in the Treatment of Dry Socket: Literature Review and Case Series

et al. 2021

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Alveolar osteitis (AO) is one of the complications that occur after tooth extraction. The aim of this study has been to evaluate the efficacy of Advanced Platelet-rich Fibrin (A-PRF) in the management of pain and the acceleration of wound healing in the treatment of AO. Consecutive patients who were diagnosed with AO, recruited from patients referred to the Oral Surgery Department of the University of Naples Federico II, were enrolled. After local anesthesia, the dry socket was curetted and irrigated with saline. The Platelet-rich Fibrin (PRF) clot was placed in the socket and then covered with an A-PRF membrane. Clinical parameters, such as the degree of pain and rate of granulation tissue (GT) formation, were measured before treatment and after 1, 3, 7, 14, and 21 days. The Friedman test for dependent samples was used to detect the treatment and time effect. Four patients with established AO were included. On all the examination days, the post-operative recovery was uneventful. The pain scores progressively reduced, from an average of 8.5 before treatment to 0.25 on the third day, and the GT formation improved over time. The use of A-PRF in the treatment of AO significantly reduced the pain level and enhanced the wound-healing process.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Advanced Platelet-Rich Fibrin as a Therapeutic Option in the Treatment of Dry Socket: Literature Review and Case Series

et al. 2021

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“…63 In a systematic review by Riba-Terés et al, it was inferred that bacteria might play a role in the pathogenesis of this condition. 77…”

Section: Alveolar Osteitismentioning

confidence: 99%

“…120,121 Typically, the management of alveolar osteitis includes analgesic and antibiotic therapy and topical dressings. 77 Recently, a new literature trend also indicated the use of PRF in treating this condition. A clinical trial by Sharma et al in 100 patients with alveolar osteitis proved that PRF can be useful in pain relief and wound healing.…”

Section: Treatment For Acute Painmentioning

confidence: 99%

Pain in Oral and Maxillofacial Surgery and Implant Dentistry: Types and Management

et al. 2021

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Over the years, the pain has been defined numerous times in several ways. In oral and maxillofacial surgery, the occurrence of pain, especially postoperatively, is anticipated. Pain arises as a combination of various processes after tissue damage. Distinct pain experiences in oral surgery were depicted in several previous studies, adding knowledge to the field. The management of these encounters has been suggested over time, improving treatment approaches in the clinical setting. This review aims to understand the pain and its types and intervention in the field of oral and maxillofacial surgery.

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“…Microbiological studies are scarce to determine the real role of prophylactic therapy with antimicrobials in healthy patients. Current knowledge around this theme is based mainly in observational studies and systematic reviews (Lodi et al, 2021;Riba-Tereś et al, 2021;Yoshida et al, 2021). The aim of this study was to verify the impact of prophylaxis therapy with antiseptic and antibiotic in healthy patients submitted to impacted lower third molar extraction, according to oral microorganism quantification.…”

Section: Introductionmentioning

confidence: 99%

Firmicutes Dysbiosis After Chlorhexidine Prophylaxis in Healthy Patients Submitted to Impacted Lower Third Molar Extraction

Neves

Alves

Rocha

et al. 2021

Front. Cell. Infect. Microbiol.

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Prophylaxis with antiseptic and antibiotic therapy is common in impacted lower third molar surgeries, despite the lack of consensus among professionals and researchers in the indication for healthy patients. The aim of the present preliminary study was to verify the impact of prophylaxis therapy with antiseptic and antibiotic in healthy patients submitted to impacted lower third molar extraction, according to oral microorganism quantification. Eleven patients submitted to impacted lower third molar extraction, under prophylactic therapy with 0.12% chlorhexidine and amoxicillin in four experimental phases, were evaluated. Our results showed no significant reduction in total bacteria load, as well as in Bacteroidetes and C. albicans loads in the oral cavity, after prophylactic therapy with antiseptic and antibiotic. On the other hand, there was a significant difference between the Firmicutes levels across the follow-up, and this effect seems to be large (ηp²=0.94). Post-hoc test demonstrated that the levels of Firmicutes in T1 were higher than T0, T2, and T3, suggesting a microbiota dysbiosis, when 0.12% chlorhexidine use, which may be responsible for selection of antibiotic-resistant microorganisms. Our results alert for an overuse of antiseptic and antibiotics by dentists and for a better evaluation of the available protocols.

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Microbiota of alveolar osteitis after permanent tooth extractions: A systematic review

Cited by 18 publications

References 30 publications

Advanced Platelet-Rich Fibrin as a Therapeutic Option in the Treatment of Dry Socket: Literature Review and Case Series

Advanced Platelet-Rich Fibrin as a Therapeutic Option in the Treatment of Dry Socket: Literature Review and Case Series

Pain in Oral and Maxillofacial Surgery and Implant Dentistry: Types and Management

Firmicutes Dysbiosis After Chlorhexidine Prophylaxis in Healthy Patients Submitted to Impacted Lower Third Molar Extraction

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