Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review

Questions remain whether postoperative infections and implant failure can be reduced with the use of antibiotics. Especially, when its routine use can cause adverse effects and may contribute to the development of antibiotic-resistant bacteria. Moreover, there is no consensus regarding appropriate d...

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Autores principales:	Asenjo-Lobos,Claudia, Jofre,Jorge, Cortes,Marcela, Manterola,Carlos
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2015
Materias:	antibiotic prophylaxis dental implants systematic review infection
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2015000100021
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spelling	oai:scielo:S0718-381X20150001000212015-08-11Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic ReviewAsenjo-Lobos,ClaudiaJofre,JorgeCortes,MarcelaManterola,Carlos antibiotic prophylaxis dental implants systematic review infection Questions remain whether postoperative infections and implant failure can be reduced with the use of antibiotics. Especially, when its routine use can cause adverse effects and may contribute to the development of antibiotic-resistant bacteria. Moreover, there is no consensus regarding appropriate dosage regimen of antibiotics to prevent bacterial infection in implant dentistry. To determine effectiveness of different antibiotics regimens to prevent early infection after implant placement. A systematic review of all relevant studies addressing the use of antibiotic for dental implant surgery was carried-out. Implant groups not using antibiotics, were also analyzed. Primary outcomes were incidence of postoperative infection and frequency of implant failure due to infection. From 164 articles reviewed, 11 fulfilled the selection criteria representing 9472 placed implants. Regimens associated with the use of postoperative antibiotics showed a lower incidence of early infection (postoperative regimens 0%, pre and postoperative regimens 0.22% and 0.53%, long- and short-course, respectively (P= 0.275)). Regarding failure due to infection, no differences between groups were found (P= 0.249). A trend favoring the use of postoperative antibiotic to prevent early infections was observed. Further studies should be carried out in order to provide evidence-based clinical guidelines for use of antibiotics in dental implant placement.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.9 n.1 20152015-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2015000100021en10.4067/S0718-381X2015000100021
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	antibiotic prophylaxis dental implants systematic review infection
spellingShingle	antibiotic prophylaxis dental implants systematic review infection Asenjo-Lobos,Claudia Jofre,Jorge Cortes,Marcela Manterola,Carlos Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
description	Questions remain whether postoperative infections and implant failure can be reduced with the use of antibiotics. Especially, when its routine use can cause adverse effects and may contribute to the development of antibiotic-resistant bacteria. Moreover, there is no consensus regarding appropriate dosage regimen of antibiotics to prevent bacterial infection in implant dentistry. To determine effectiveness of different antibiotics regimens to prevent early infection after implant placement. A systematic review of all relevant studies addressing the use of antibiotic for dental implant surgery was carried-out. Implant groups not using antibiotics, were also analyzed. Primary outcomes were incidence of postoperative infection and frequency of implant failure due to infection. From 164 articles reviewed, 11 fulfilled the selection criteria representing 9472 placed implants. Regimens associated with the use of postoperative antibiotics showed a lower incidence of early infection (postoperative regimens 0%, pre and postoperative regimens 0.22% and 0.53%, long- and short-course, respectively (P= 0.275)). Regarding failure due to infection, no differences between groups were found (P= 0.249). A trend favoring the use of postoperative antibiotic to prevent early infections was observed. Further studies should be carried out in order to provide evidence-based clinical guidelines for use of antibiotics in dental implant placement.
author	Asenjo-Lobos,Claudia Jofre,Jorge Cortes,Marcela Manterola,Carlos
author_facet	Asenjo-Lobos,Claudia Jofre,Jorge Cortes,Marcela Manterola,Carlos
author_sort	Asenjo-Lobos,Claudia
title	Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
title_short	Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
title_full	Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
title_fullStr	Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
title_full_unstemmed	Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review
title_sort	use of antibiotics in dental implant surgery: a decision based on evidence from systematic review
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2015000100021
work_keys_str_mv	AT asenjolobosclaudia useofantibioticsindentalimplantsurgeryadecisionbasedonevidencefromsystematicreview AT jofrejorge useofantibioticsindentalimplantsurgeryadecisionbasedonevidencefromsystematicreview AT cortesmarcela useofantibioticsindentalimplantsurgeryadecisionbasedonevidencefromsystematicreview AT manterolacarlos useofantibioticsindentalimplantsurgeryadecisionbasedonevidencefromsystematicreview
_version_	1714203965987487744

Use of Antibiotics in Dental Implant Surgery: A Decision Based on Evidence from Systematic Review

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