J Med Assoc Thai 2008; 91 (11):1726

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Antibiotic Prophylaxis for Orthognathic Surgery: A Prospective, Comparative, Randomized Study between Amoxicillin-Clavulanic Acid and Penicillin
Jansisyanont P Mail, Sessirisombat S , Sastravaha P , Bamroong P

Objective: The present study was designed to evaluate the prophylactic efficacy after the correction of dentofacial
deformities between short- and long-term penicillin and amoxicillin-clavulanic acid.

Material and Method:
The present study was prospective, randomized, and double blinded. Patients were
separated into four groups randomly: short-term and long-term (5 days) penicillin and short-term and longterm
(5 days) amoxicillin-clavulanic acid.

Results:
One hundred twenty two patients were assigned randomly into the four groups. Infection developed
in a patient in the short-term amoxicillin-clavulanic acid group and in a patient in the long-term penicillin
group.

Conclusion:
There were no differences in infection between the two groups of antibiotics. Based on the present
study, short-term penicillin is still the most appropriate choice for prophylactic antibiotic in orthognathic
surgery.

Keywords:
Antibiotic prophylaxis, Orthognathic surgery

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