ABSTRACT
The aim of our study is to assess the need for postoperative antibiotics following simple exodontia and determine its role in minimizing patient discomfort and postoperative complications. Methods: All the patients undergoing simple extractions were grouped into two categories: Group 1, patients receiving antibiotics, and Group 2, patients receiving no antibiotics. Patients were recalled on the sixth day to assess postoperative complications. On recall, patients were evaluated for signs of persistent inflammation and signs of dry socket. Presence of persistent inflammation and/or suppuration on the 6th day was considered as wound infection. Results: A total of 200 patients were included in this study. Out of the total sample, 185 (92.5%) presented with no postoperative complications and 15 (7.5%) had postoperative complications, out of which 12 (6%) patients presented with dry socket (alveolar osteitis), 5 (5%) in the antibiotic group and 7 (7%) in the non-antibiotic group. Only 3 patient (1.5%) was reported with infection of the extraction socket 1 in antibiotic group and 2 in the non-antibiotic group. Conclusion: Antibiotics are not required after simple extractions in patients who are not medically comprised nor do they have any role in preventing postoperative complications.
ABSTRACT
Background: The main purpose of this study was to determine the prevalence of odontogenic cysts in Kashmiri population. Methods:The data on odontogenic cysts (OCs) treated in the department of Oral and Maxillofacial Surgery Government Dental College Srinagar from January 2011 to December 2016 was collected retrospectively. The information regarding patient’s age, sex, location of the cyst and the type of the odontogenic cyst was recorded and analysis was done using descriptive statistics. Results: A total of 152 OCs were identified out of which 87 were male and 65 female with male to female ratio of 1.3:1. The OCs were seen to predominate in the second, third and fourth decades of life, the most common anatomic location being the mandibular posterior region (40.8%). Radicular cyst dominated among the OCs (50.6 %) followed by dentigerous cyst (23%), odontogenic keratocyst (10.5%), residual cyst (8.6 %), lateral periodontal cyst (5.3 %) and paradental cyst (1.9 %). Radicular cysts most frequently involved the maxillary anterior region (33.8%) while as dentigerous cysts and odontogenic keratocysts were more common in the man-dibular posterior region (54.3% and 56.3% respectively). Conclusion: Radicular cyst and dentigerous cyst are the most prevalent odontogenic cysts in Kashmiri population; etiology being the dental decay (pulpal necrosis) and impacted teeth. In order to decrease the prevalence of radicular and dentigerous cysts, preventive measures need to be taken to diminish dental decay and programs of prophylactic extractions of impacted teeth need to be established