Antibiotic Prophylaxis in Dental Implants: A Review
Keywords:Antibiotics, Amoxicillin, Penicillins, Clindamycin.
Introduction: Dentists are often faced with the tough decision of whether to prescribe prophylactic
antibiotics for complex oral surgeries such as dental implants. Although these decisions are generally made
on a case by case basis, if antibiotics were improperly prescribed, it would produce a greater difficulty in
Materials and Methods: Antibiotics are used to prevent infections. If a dental implant does become
infected, the chances of implant failure become high. While a huge number of factors can ultimately lead to
the failure of dental implants, most of us take extra precautions regarding infection.
Generally, Amoxicillin and Penicillins are prescribed as first line of treatment, due to their superior absorption
rate and prolonged serum levels. In today’s population, however, there is increased levels of penicillin
allergies. In such cases, Clindamycin is used as an alternate with excellent results. The use of antibiotics
in implant dentistry is controversial. While, pre-operational standard guidelines regarding antibiotics are
possible to form; however, post-operational will need to be based on procedural outcomes during, and after
completion of the operation.
Conclusion: The non-evidence-based practice protocol of prescribing prophylactic antibiotics raises serious
ethical concerns. Surgeons and general practitioners are routinely placing implants with antibiotics perhaps
due to the fact that they are fearful of the repercussions of implant failure. The negative impacts associated
with use of antibiotic therapy must be assessed in comparison to the costs and morbidity. The dental
professionals must be careful, to not only prescribe antibiotics only when necessary, but also work towards
performing implant procedures with utmost care and importance given to sterilization and a maintenance of
aseptic conditions before and during the procedure.
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