Post-Operative Complications after Simple Tooth Extraction in Diabetic Patients with and without Antibiotic Prophylaxis
Arslan Mahmood, Ziaur Rahman Khan, Bakhtawar Saleem, Zunair Akbar Memon, Babar Abro, Ghazanfar Hassan
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ABSTRACT
Objective: To compare early post-operative complications after simple
tooth extraction in diabetic patients with and without antibiotic prophylaxis.
Material and Methods: This Randomized Control Trial
study was conducted at department of Oral &Maxillofacial Surgery Liaquat University Hospital Hyderabad. The duration of
study was from November 2020 to October 2021. A total of 190 patients diagnosed
as diabetics were randomly allocated into two groups. Pain, bleeding, infection, fever and dry socket was
assessed from1st, 3rd and 7th post-operative days.
Results: The average age of the patients was 35.39±6.09 years. Rate
of pain (28.4% vs. 12.6%; p=0.007), bleeding (25.3% vs. 11.6% p=0.015),
infection (20% vs. 6.3% p= 0.005) and dry socket (18.9% vs. 8.4% p=0.035) was
significantly high in group B than group A while fever was not significant.
Conclusion: It is concluded that the prescription of prophylactic
antibiotics in subjects who got extraction has low incidence of post-operative
complications than extraction in diabetics without prophylaxis.
Keywords Tooth extraction, Periodontal disease, Prophylactic
antibiotics