INFECTIOUS ROLE OF BACTEREMIA IN THE FIELD OF ORAL AND MAXILLOFACIAL SURGERY - AN ORIGINAL RESEARCH

Abstract

Background

This study is done to compare and correlate the factors that would affect the prevalence, intensity, nature of bacteremia during pre-operative, intra-operative and aftermath trans-alveolar extraction of impacted mandibular third molar.

Aim

The aim of this study is to study the prevalence, nature, and intensity of bacteremia among the patients with no antibiotics administered prior to trans-alveolar extraction, with and with-out periapical and periodontal infections.

Materials and methods

A prospective clinical study and microbiological assessment on blood culture was conducted  in 50 patients who underwent surgical removal of impacted mandibular third molar teeth. Immunocompromised patients, patients having temperature greater than 100⁰ F, bleeding disorders, patients on recent antibiotic medications were excluded from the study.

Results

On comparison of the pre-operative, intra- operative and post-operative intensity values, the intensity of bacteremia was significantly greater at the intra operative and post-extraction time than at the pre-extraction time.

Conclusion

We conclude that the incidence, prevalence and the intensity of bacteremia during trans-alveolar extraction increases as the patients age advances and the rate of incidence of periodontitis increases especially in patients with poor oral hygiene, which contributes to the occurrence and intensity of bacteremia associated with trans-alveolar extraction of third molar. We also found that the occurrence of bacteremia increased with duration of the surgery, as incidence of bacteremia was high when the surgery lasted more than 35 minutes in general.