Comparison between the effect of using of lincomycine and normal saline as irrigations in outcome of surgical removal of impacted mandibular third molar.

Abstract

Surgical removal of impacted mandibular third molars is the most common surgical procedure in oral and maxillofacial surgery and it is often complicated by the trismus, swelling, pain, infection of the wound, and alveolar osteitis. The current research includes a close correlation between dental and oral surgery with dental panoramic tomography for each patient involved in the study. The objective of the this study is to compare the effectiveness of normal saline alone with lincomycine in distilled water, as irrigating solutions on the (pain, swelling, trismus, alveolar osteitis, and infection) as complications after surgical removal of the impacted mandibular third molar. The total number of patients was: 42 patients, 22 male, (52.3%), and 20 female, (47.3%), and their ages were ranged between (21-29), these patient samples were divided into two groups: Group-A included 21 patients, 12 males and 9 females, Group- B included 21 patients, 10 were males and 11 females. All third molars of lower jaw affected in one side. These affected third molars were classified according to the winter classification .The site of the surgical operation was irrigated by lincomycine and normal saline to remove debris, foreign matter, and blood clots containing the bacteria. In this study the use of the topical antibiotic as irrigation instead of antiseptic solutions alone. The using of small amounts of antibiotic (lincomycin) were applied to reduce the incidence of complications of surgical extraction of wisdom tooth like alveolar osteitis.