Early Wound Healing Following One-Stage Dental Implant Placement With and Without Antibiotic Prophylaxis: A Pilot Study
Identifieur interne : 006032 ( Main/Exploration ); précédent : 006031; suivant : 006033Early Wound Healing Following One-Stage Dental Implant Placement With and Without Antibiotic Prophylaxis: A Pilot Study
Auteurs : Samer B. Khoury ; Leslie Thomas ; John D. Walters ; John F. Sheridan ; Binnaz LeblebiciogluSource :
- Journal of periodontology [ 0022-3492 ] ; 2008.
Abstract
One-stage implant placement has clinically acceptable treatment outcomes. Among other advantages, it may allow investigation of early wound healing. The purpose of this pilot study was to determine whether peri-implant crevicular fluid (PICF) can be used to detect early changes around implants placed with one-stage surgical protocol following 1 week of healing.
Twenty subjects (11 males and nine females; aged 22 to 72 years; two smokers) were included. Exclusion criteria were allergies to amoxicillin and systemic conditions that may affect healing. Subjects had a healthy periodontium and needed a single implant; eight received antibiotic prophylaxis, and 12 served as controls. Clinical healing was evaluated with plaque and gingival indices (PI and GI, respectively). Gingival crevicular fluid (GCF) from the surgical site was obtained prior to the surgery, whereas PICF was collected at the 1-week visit. Enzyme-linked immunosorbent assay was used to determine GCF/PICF interleukin (IL)-1β and -8 concentrations. Peripheral blood and GCF antibiotic levels were measured by high-performance liquid chromatography.
Postoperative PI and GI were slightly increased. Total GCF and PICF volumes did not show a significant difference between appointments. There was an increase in PICF IL-1β and -8 levels at 1week postoperatively. Mean amoxicillin serum concentration was 5.1 ± 2 μg/ml at 1 to 4 hours following the initial dose, whereas GCF amoxicillin levels were below the limit of detection. Antibiotic prophylaxis had a modest effect on clinical indices (PI and GI) and no appreciable effect on biomarkers.
PICF content can be studied as early as 1 week following one-stage implant placement. The results raise doubts regarding the clinical usefulness of amoxicillin prophylaxis.
Url:
DOI: 10.1902/jop.2008.070670
PubMed: 18834245
PubMed Central: 2735441
Affiliations:
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Walters</name><affiliation><nlm:aff id="A1"> Section of Periodontology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author><author><name sortKey="Sheridan, John F" sort="Sheridan, John F" uniqKey="Sheridan J" first="John F." last="Sheridan">John F. Sheridan</name><affiliation><nlm:aff id="A2"> Section of Oral Biology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author><author><name sortKey="Leblebicioglu, Binnaz" sort="Leblebicioglu, Binnaz" uniqKey="Leblebicioglu B" first="Binnaz" last="Leblebicioglu">Binnaz Leblebicioglu</name><affiliation><nlm:aff id="A1"> Section of Periodontology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18834245</idno><idno type="pmc">2735441</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2735441</idno><idno type="RBID">PMC:2735441</idno><idno type="doi">10.1902/jop.2008.070670</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">002114</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002114</idno><idno type="wicri:Area/Pmc/Curation">002114</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002114</idno><idno type="wicri:Area/Pmc/Checkpoint">002640</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002640</idno><idno type="wicri:Area/Ncbi/Merge">002394</idno><idno type="wicri:Area/Ncbi/Curation">002394</idno><idno type="wicri:Area/Ncbi/Checkpoint">002394</idno><idno type="wicri:doubleKey">0022-3492:2008:Khoury S:early:wound:healing</idno><idno type="wicri:Area/Main/Merge">006108</idno><idno type="wicri:Area/Main/Curation">006032</idno><idno type="wicri:Area/Main/Exploration">006032</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Early Wound Healing Following One-Stage Dental Implant Placement With and Without Antibiotic Prophylaxis: A Pilot Study</title><author><name sortKey="Khoury, Samer B" sort="Khoury, Samer B" uniqKey="Khoury S" first="Samer B." last="Khoury">Samer B. Khoury</name></author><author><name sortKey="Thomas, Leslie" sort="Thomas, Leslie" uniqKey="Thomas L" first="Leslie" last="Thomas">Leslie Thomas</name><affiliation><nlm:aff id="A1"> Section of Periodontology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author><author><name sortKey="Walters, John D" sort="Walters, John D" uniqKey="Walters J" first="John D." last="Walters">John D. Walters</name><affiliation><nlm:aff id="A1"> Section of Periodontology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author><author><name sortKey="Sheridan, John F" sort="Sheridan, John F" uniqKey="Sheridan J" first="John F." last="Sheridan">John F. Sheridan</name><affiliation><nlm:aff id="A2"> Section of Oral Biology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author><author><name sortKey="Leblebicioglu, Binnaz" sort="Leblebicioglu, Binnaz" uniqKey="Leblebicioglu B" first="Binnaz" last="Leblebicioglu">Binnaz Leblebicioglu</name><affiliation><nlm:aff id="A1"> Section of Periodontology, College of Dentistry, The Ohio State University</nlm:aff><wicri:noCountry code="subfield">The Ohio State University</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of periodontology</title><idno type="ISSN">0022-3492</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">One-stage implant placement has clinically acceptable treatment outcomes. Among other advantages, it may allow investigation of early wound healing. The purpose of this pilot study was to determine whether peri-implant crevicular fluid (PICF) can be used to detect early changes around implants placed with one-stage surgical protocol following 1 week of healing.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Twenty subjects (11 males and nine females; aged 22 to 72 years; two smokers) were included. Exclusion criteria were allergies to amoxicillin and systemic conditions that may affect healing. Subjects had a healthy periodontium and needed a single implant; eight received antibiotic prophylaxis, and 12 served as controls. Clinical healing was evaluated with plaque and gingival indices (PI and GI, respectively). Gingival crevicular fluid (GCF) from the surgical site was obtained prior to the surgery, whereas PICF was collected at the 1-week visit. Enzyme-linked immunosorbent assay was used to determine GCF/PICF interleukin (IL)-1β and -8 concentrations. Peripheral blood and GCF antibiotic levels were measured by high-performance liquid chromatography.</p></sec><sec id="S3"><title>Results</title><p id="P3">Postoperative PI and GI were slightly increased. Total GCF and PICF volumes did not show a significant difference between appointments. There was an increase in PICF IL-1β and -8 levels at 1week postoperatively. Mean amoxicillin serum concentration was 5.1 ± 2 μg/ml at 1 to 4 hours following the initial dose, whereas GCF amoxicillin levels were below the limit of detection. Antibiotic prophylaxis had a modest effect on clinical indices (PI and GI) and no appreciable effect on biomarkers.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">PICF content can be studied as early as 1 week following one-stage implant placement. The results raise doubts regarding the clinical usefulness of amoxicillin prophylaxis.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Khoury, Samer B" sort="Khoury, Samer B" uniqKey="Khoury S" first="Samer B." last="Khoury">Samer B. Khoury</name><name sortKey="Leblebicioglu, Binnaz" sort="Leblebicioglu, Binnaz" uniqKey="Leblebicioglu B" first="Binnaz" last="Leblebicioglu">Binnaz Leblebicioglu</name><name sortKey="Sheridan, John F" sort="Sheridan, John F" uniqKey="Sheridan J" first="John F." last="Sheridan">John F. Sheridan</name><name sortKey="Thomas, Leslie" sort="Thomas, Leslie" uniqKey="Thomas L" first="Leslie" last="Thomas">Leslie Thomas</name><name sortKey="Walters, John D" sort="Walters, John D" uniqKey="Walters J" first="John D." last="Walters">John D. Walters</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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