Firmicutes Dysbiosis After Chlorhexidine Prophylaxis in Healthy Patients Submitted to Impacted Lower Third Molar Extraction

Prophylaxis with antiseptic and antibiotic therapy is common in impacted lower third molar surgeries, despite the lack of consensus among professionals and researchers in the indication for healthy patients. The aim of the present preliminary study was to verify the impact of prophylaxis therapy wit...

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Bibliographic Details
Published in:Frontiers in cellular and infection microbiology 2021-08, Vol.11, p.702014-702014
Main Authors: Neves, Carlos Augusto das, Alves, Carlos Henrique, Rocha, Natália Conceição, Rizzardi, Karina Ferreira, Russi, Karolyne Larissa, Palazzi, Alexandre Augusto Albigiante, Parisotto, Thaís Manzano, Girardello, Raquel
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotic Prophylaxis
antibiotic resistance
Cellular and Infection Microbiology
Chlorhexidine
Dysbiosis - drug therapy
Firmicutes
Humans
Molar, Third - surgery
oral bacteria and fungi
oral microbiota
personalized odontology
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Summary:Prophylaxis with antiseptic and antibiotic therapy is common in impacted lower third molar surgeries, despite the lack of consensus among professionals and researchers in the indication for healthy patients. The aim of the present preliminary study was to verify the impact of prophylaxis therapy with antiseptic and antibiotic in healthy patients submitted to impacted lower third molar extraction, according to oral microorganism quantification. Eleven patients submitted to impacted lower third molar extraction, under prophylactic therapy with 0.12% chlorhexidine and amoxicillin in four experimental phases, were evaluated. Our results showed no significant reduction in total bacteria load, as well as in Bacteroidetes and loads in the oral cavity, after prophylactic therapy with antiseptic and antibiotic. On the other hand, there was a significant difference between the Firmicutes levels across the follow-up, and this effect seems to be large ( ). test demonstrated that the levels of Firmicutes in T1 were higher than T0, T2, and T3, suggesting a microbiota dysbiosis, when 0.12% chlorhexidine use, which may be responsible for selection of antibiotic-resistant microorganisms. Our results alert for an overuse of antiseptic and antibiotics by dentists and for a better evaluation of the available protocols.
ISSN:2235-2988
2235-2988
DOI:10.3389/fcimb.2021.702014