浅谈牙拔除术后抗菌药物的使用

Use of antibiotics following tooth extraction

牙拔除术是口腔颌面外科门诊最常见的手术。总体来看,其并发症的发生率较低,但由于患者群体基数庞大,因此出现并发症的患者群数量也相对较大,其中以术后局部感染最为常见,危害最大。抗菌药物的使用,是否能够降低局部感染的发生率;抗菌药物广泛使用的利弊,一直存在争议。本文仅对拔牙后是否使用抗菌药物以及抗菌药物使用的时机等问题进行初步探讨。

The surgical removal of impacted third molars remains the most common procedure performed by oral and maxillofacial surgeons. Considering the total number of patients, the complication is generally low, but the sum is rather high. Local infection is among the most common complications of third molar removal. The efficacy of antibiotics in reducing the frequency of infection and the advantages and disadvantages of antibiotic use are still questionable. This article provides a comprehensive review of available data on using antibiotic prophylaxis in impacted third molar surgeryd.