The Use of Antibiotics in Oral Surgery

Antibiotics are sometimes used in oral surgery to prevent or treat infections. The following are some situations where antibiotics may be indicated:

  1. Preoperative prophylaxis: Antibiotics may be given as a preventive measure to minimize the risk of infection. Studies have shown that a dose of antibiotics prior to surgery decreases the risk of post-surgical wound infections. Often, antibiotics are used in immune-compromised individuals and those with certain heart conditions who are at higher risk for infection.
  2. Treatment of existing infections: If a patient already has an infection, antibiotics may be prescribed to control the infection before or after surgery.
  3. Postoperative management: After oral surgery, antibiotics may be prescribed to minimize the risk of infection at the surgical site. This can be indicated for procedures involving extensive surgery and those at risk for infections. In those situations, antibiotics may be given to aid in the healing process.

Antibiotic stewardship is following evidence-based guidelines for the appropriate use of antibiotics. Dr. Maranon is well aware of his role in their appropriate use. Dr. Maranon only prescribes antibiotics when necessary. His choice of antibiotics is based on each specific clinical situation with the understanding of when antibiotics are necessary and when they are not. Inappropriate prescribing of antibiotics can lead to the loss of their effectiveness, increasing the chance of the emergence of antibiotic-resistant bacteria which is a major public health threat. Dr. Maranon is aware that there are potential adverse reactions and side effects of antibiotics. If antibiotics are prescribed, it is essential that Dr. Maranon’s instructions on antibiotic use, dosage, and duration of treatment are followed.