|Incidence of deep fascial space infection after surgical removal of the mandibular third molars.|
|PMID: 11406759 Owner: NLM Status: MEDLINE|
|Nine hundred and ninety-three patients who underwent surgical removal of the mandibular third molars with oral antibiotic prophylaxis were examined to determine the incidence of postoperative deep fascial space infection and its background factors. Postoperative deep fascial space infection was observed in 8 of the patients (0.8%; 4 males and 4 females), and submandibular spaces were involved in all infected patients. Only 1 of these 8 patients was an immune compromised host. Patients aged 30 years or more had a significantly higher incidence of deep fascial space infection than those aged under 30. Five patients had partial bony impactions and 3 had complete bony impactions. However, the incidence of infection according to the molar positions was not significantly different between partial bony impaction and complete bony impaction. The 8 patients had not had pericoronitis preoperatively. The clinical courses of all were favorable after antibiotics were administered intravenously. In conclusion, the incidence of deep fascial space infection after removal of the mandibular third molars was low, at 0.8%. However, it may be desirable to remove the molars, if applicable, at a younger age because of the higher incidence of infection in patients aged over 30. The results of this study also offer information that will be useful as a basis for obtaining informed consent from patients whose mandibular third molars are to be removed.|
|T Yoshii; Y Hamamoto; S Muraoka; A Kohjitani; O Teranobu; S Furudoi; T Komori|
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|Type: Journal Article|
|Title: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy Volume: 7 ISSN: 1341-321X ISO Abbreviation: J. Infect. Chemother. Publication Date: 2001 Mar|
|Created Date: 2001-06-14 Completed Date: 2001-07-12 Revised Date: 2004-11-17|
Medline Journal Info:
|Nlm Unique ID: 9608375 Medline TA: J Infect Chemother Country: Japan|
|Languages: eng Pagination: 55-7 Citation Subset: IM|
|Department of Dentistry, Hyogo Prefectural Staff Health Center, 5-10-1 Shimoyamate-dori, Chuo-ku, Kobe 650-8567, Japan. firstname.lastname@example.org|
|APA/MLA Format Download EndNote Download BibTex|
Ampicillin / administration & dosage, analogs & derivatives, therapeutic use
Asthma / epidemiology
Cellulitis / epidemiology*
Diabetes Mellitus / epidemiology
Fascia / microbiology*
Hepatitis, Chronic / epidemiology
Japan / epidemiology
Mandible / surgery*
Molar, Third / surgery*
Neoplasms / epidemiology
Pericoronitis / complications, epidemiology
Surgical Wound Infection / epidemiology*
Tooth, Impacted / surgery
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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