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The aim of this study was investigate the comparison of postoperative effects of local antibiotics mixed with platelet-rich fibrin and postoperative systemic antibiotic applications prescribed for mandibular impacted third molar tooth extraction. The study included a total of 75 patients with impacted mandibular third molar. Patients were evaluated in 5 randomly separated groups. For the first and third group, Platelets Rich Fibrin+ systemic Antibiotics were applied into the tooth socket and for the second and fourth group, Platelets Rich Fibrin + local antibiotics were applied, respectively. There was a control group which only Platelets Rich Fibrin was applied into the socket. The outcome variables were pain, swelling, the number of analgesics taken, and trismus. These variables were also assessed based on first, second, third, and seventh days following the operation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 | platelet-rich fibrin placed into the socket of the extracted tooth.+ Augmentin 1 gr tablet prescribed 3 times a day |
| |
| group 2 | platelet-rich fibrin + 0.5 ml amoklavin I.V. 1.2 gr placed into the socket of the extracted tooth. |
| |
| group 3 | platelet-rich fibrin placed into the socket of extracted tooth + Clin 150 mg capsule prescribed 4 times a day |
| |
| group 4 | platelet-rich fibrin + 0.5 ml Clin 600 mg/4 ml IM/IV, 0.5 ml placed into the socket of the extracted tooth. |
| |
| control group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diagnosis | Diagnostic Test | All of the patients withstand a radiological examination, including panoramic radiography, and all were handled by the same surgeon and assistant. |
|
| Measure | Description | Time Frame |
|---|---|---|
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | day 1 |
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | day 2 |
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | day 3 |
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | day 7 |
| visual analogue scale (VAS) | It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. | day 15 |
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | day 1 |
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | day 2 |
| Trismus |
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| Measure | Description | Time Frame |
|---|---|---|
| the number of analgesic tablets | Check the patients analgesic number of days 1,2,3,7 and 15. | day 1,2,3,7 and 15 |
| the number of analgesic tablets | Check the patients analgesic number of days 1,2,3,7 and 15. |
Inclusion Criteria:
Exclusion Criteria:
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community aged between 18-40 without any important systemic disease.
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| Name | Affiliation | Role |
|---|---|---|
| Ceren Melahat Dönmezer | Near East University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Near east University | Nicosia | Lefkosa | 99138 | Cyprus |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30629300 | Background | Polak D, Clemer-Shamai N, Shapira L. Incorporating antibiotics into platelet-rich fibrin: A novel antibiotics slow-release biological device. J Clin Periodontol. 2019 Feb;46(2):241-247. doi: 10.1111/jcpe.13063. | |
| 22275950 | Background | Osunde OD, Adebola RA, Omeje UK. Management of inflammatory complications in third molar surgery: a review of the literature. Afr Health Sci. 2011 Sep;11(3):530-7. |
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| ID | Term |
|---|---|
| D003933 | Diagnosis |
| D010406 | Penicillins |
| D000700 | Analgesics |
| D000900 | Anti-Bacterial Agents |
| ID | Term |
|---|---|
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013457 |
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platelet-rich fibrin placed into the socket of extracted tooth and no antibiotic is prescribed. |
|
| traditional osteotomies | Procedure | In all groups the flap incision was triangular in shape which avoids muscle involvement (Archer flap). |
|
| Platelet Rich Fibrin | Biological | Platelet rich fibrin (PRF), is an example and popular procedure for accelerate healing of soft and hard tissue because of the presence of various growth factors.a blood sample was taken without anticoagulant in 10 mL glass-coated plastic tubes that were immediately centrifuged (Elektro-mag M415P) at 3,000 rpm for 10 min (approximately 400 g) (13). The platelet-poor plasma that accumulated at the top of the tubes was discarded.PRF was dissected approximately 2 mm below its contact point with the red corpuscles situated beneath, to include any remaining platelets that may have localized below the junction between the PRF and red corpuscles. |
|
| Antibiotics, Penicillin | Drug | Antibiotics are prescribed for the patients. |
|
| Analgesic | Drug | Analgesics are prescribed for the patients. |
|
| Antibiotic | Drug | Patients with penicillin allergy |
|
Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. |
| day 3 |
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | day 7 |
| Trismus | Trismus by measuring the distance between the mesial incisal corners of the upper and lower right incisors during maximum mouth opening. | day 15 |
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | day 1 |
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | day 2 |
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | day 3 |
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | day 7 |
| swelling | measured using a flexible plastic measuring tape as described by Gabka and Matsumura by measuring the distance from the corner of the mouth to the attachment of the earlobe following the bulge of the cheek and the distance from the outer canthus of the eye to the angle of the mandible. | day 15 |
| day 2 |
| the number of analgesic tablets | Check the patients analgesic number of days 1,2,3,7 and 15. | day 3 |
| the number of analgesic tablets | Check the patients analgesic number of days 1,2,3,7 and 15. | day 7 |
| the number of analgesic tablets | Check the patients analgesic number of days 1,2,3,7 and 15. | day 15 |
| 25110703 | Background | Kreutzer K, Storck K, Weitz J. Current evidence regarding prophylactic antibiotics in head and neck and maxillofacial surgery. Biomed Res Int. 2014;2014:879437. doi: 10.1155/2014/879437. Epub 2014 Jul 8. |
| 26209242 | Background | Uyanik LO, Bilginaylar K, Etikan I. Effects of platelet-rich fibrin and piezosurgery on impacted mandibular third molar surgery outcomes. Head Face Med. 2015 Jul 26;11:25. doi: 10.1186/s13005-015-0081-x. |
| Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D018689 | Sensory System Agents |
| D018373 | Peripheral Nervous System Agents |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D002491 | Central Nervous System Agents |
| D045506 | Therapeutic Uses |
| D000890 | Anti-Infective Agents |