Risk factors for oral infection and dry socket post-tooth extraction in medically complex patients in the absence of antibiotic prophylaxis : A case-control study
2024 Special Care Dentistry Association and Wiley Periodicals LLC. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA..
INTRODUCTION: Dry socket and infection are complications of tooth extractions. The objective was to determine risk factors for post-extraction complications in patients without antibiotic prophylaxis stratified by early- and late-complications and complication type (oral infection and dry socket).
METHODS: Retrospective, case (with complications)-control (without complications) study of patients (n = 708) who had ≥1 extraction performed at any Veterans Health Administration facility between 2015-2019 and were not prescribed an antibiotic 30 days pre-extraction.
RESULTS: Early complication cases (n = 109) were more likely to be female [odds ratio (OR) = 2.06; 95% confidence interval (CI):1.05-4.01], younger (OR = 0.29; 95% CI:0.09-0.94 patients ≥ 80 years old, reference:18-44 years), Native American/Alaska Native (OR = 21.11; 95% CI:2.33-191.41) and have fewer teeth extracted (OR = 0.53 3+ teeth extracted; 95% CI:0.31-0.88, reference:1 tooth extracted). Late complication cases (n = 67) were more likely to have a bipolar diagnosis (OR = 2.98; 95% CI:1.04-8.57), history of implant placement (OR = 8.27; 95% CI:1.63-41.82), and history of past smoking (OR = 2.23; 95% CI:1.28-3.88).
CONCLUSION: Predictors for post-extraction complications among patients who did not receive antibiotic prophylaxis were similar to prior work in cohorts who received prophylaxis. Unique factors identified in a medically complex population included being younger, Native American/Alaska Native, having mental health conditions, history of a dental implant, and fewer teeth extracted.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry - (2024) vom: 06. Feb. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Boyer, Taylor L [VerfasserIn] |
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| Links: |
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| Themen: |
Alveolar osteitis |
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| Anmerkungen: |
Date Revised 06.02.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1111/scd.12965 |
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| PPN (Katalog-ID): |
NLM368107434 |
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| 100 | 1 | |a Boyer, Taylor L |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Risk factors for oral infection and dry socket post-tooth extraction in medically complex patients in the absence of antibiotic prophylaxis |b A case-control study |
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| 500 | |a Date Revised 06.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a 2024 Special Care Dentistry Association and Wiley Periodicals LLC. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA. | ||
| 520 | |a INTRODUCTION: Dry socket and infection are complications of tooth extractions. The objective was to determine risk factors for post-extraction complications in patients without antibiotic prophylaxis stratified by early- and late-complications and complication type (oral infection and dry socket) | ||
| 520 | |a METHODS: Retrospective, case (with complications)-control (without complications) study of patients (n = 708) who had ≥1 extraction performed at any Veterans Health Administration facility between 2015-2019 and were not prescribed an antibiotic 30 days pre-extraction | ||
| 520 | |a RESULTS: Early complication cases (n = 109) were more likely to be female [odds ratio (OR) = 2.06; 95% confidence interval (CI):1.05-4.01], younger (OR = 0.29; 95% CI:0.09-0.94 patients ≥ 80 years old, reference:18-44 years), Native American/Alaska Native (OR = 21.11; 95% CI:2.33-191.41) and have fewer teeth extracted (OR = 0.53 3+ teeth extracted; 95% CI:0.31-0.88, reference:1 tooth extracted). Late complication cases (n = 67) were more likely to have a bipolar diagnosis (OR = 2.98; 95% CI:1.04-8.57), history of implant placement (OR = 8.27; 95% CI:1.63-41.82), and history of past smoking (OR = 2.23; 95% CI:1.28-3.88) | ||
| 520 | |a CONCLUSION: Predictors for post-extraction complications among patients who did not receive antibiotic prophylaxis were similar to prior work in cohorts who received prophylaxis. Unique factors identified in a medically complex population included being younger, Native American/Alaska Native, having mental health conditions, history of a dental implant, and fewer teeth extracted | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a alveolar osteitis | |
| 650 | 4 | |a antibiotic prophylaxis | |
| 650 | 4 | |a dentistry | |
| 650 | 4 | |a extraction | |
| 650 | 4 | |a oral infection | |
| 700 | 1 | |a Solanki, Pooja |e verfasserin |4 aut | |
| 700 | 1 | |a McGregor, Jessina C |e verfasserin |4 aut | |
| 700 | 1 | |a Wilson, Geneva M |e verfasserin |4 aut | |
| 700 | 1 | |a Gibson, Gretchen |e verfasserin |4 aut | |
| 700 | 1 | |a Jurasic, M Marianne |e verfasserin |4 aut | |
| 700 | 1 | |a Evans, Charlesnika T |e verfasserin |4 aut | |
| 700 | 1 | |a Suda, Katie J |e verfasserin |4 aut | |
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