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Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications.

Identifieur interne : 005F70 ( Main/Exploration ); précédent : 005F69; suivant : 005F71

Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications.

Auteurs : Marco Esposito [Royaume-Uni] ; Maria Gabriella Grusovin ; Minesh Talati ; Paul Coulthard ; Richard Oliver ; Helen V. Worthington

Source :

RBID : pubmed:18646101

Descripteurs français

English descriptors

Abstract

Some dental implant failures may be due to bacterial contamination at implant insertion. Infections around biomaterials are difficult to treat and almost all infected implants have to be removed. In general, antibiotic prophylaxis in surgery is only indicated for patients at risk of infectious endocarditis, for patients with reduced host-response, when surgery is performed in infected sites, in cases of extensive and prolonged surgical interventions and when large foreign materials are implanted. To minimize infections after dental implant placement various prophylactic systemic antibiotic regimens have been suggested. More recent protocols recommended short term prophylaxis, if antibiotics have to be used. With the administration of antibiotics adverse events may occur, ranging from diarrhoea to life-threatening allergic reactions. Another major concern associated with the widespread use of antibiotics is the selection of antibiotic-resistant bacteria. The use of prophylactic antibiotics in implant dentistry is controversial.

DOI: 10.1002/14651858.CD004152.pub2
PubMed: 18646101


Affiliations:


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Le document en format XML

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<term>Bacterial Infections (prevention & control)</term>
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<div type="abstract" xml:lang="en">Some dental implant failures may be due to bacterial contamination at implant insertion. Infections around biomaterials are difficult to treat and almost all infected implants have to be removed. In general, antibiotic prophylaxis in surgery is only indicated for patients at risk of infectious endocarditis, for patients with reduced host-response, when surgery is performed in infected sites, in cases of extensive and prolonged surgical interventions and when large foreign materials are implanted. To minimize infections after dental implant placement various prophylactic systemic antibiotic regimens have been suggested. More recent protocols recommended short term prophylaxis, if antibiotics have to be used. With the administration of antibiotics adverse events may occur, ranging from diarrhoea to life-threatening allergic reactions. Another major concern associated with the widespread use of antibiotics is the selection of antibiotic-resistant bacteria. The use of prophylactic antibiotics in implant dentistry is controversial.</div>
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