Is there a consensus on antibiotic usage for dental implant placement in healthy patients?

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Is there a consensus on antibiotic usage for dental implant placement in healthy patients?

Aust Dent J. 2017 May 25;:

Authors: Park JS, Tennant M, Walsh LJ, Kruger E

Abstract
OBJECTIVES: This systematic review aimed to determine whether there is consensus for antibiotic prescription in healthy patients undergoing implant placement.
METHOD: A search of PubMed, Embase and Medline databases was conducted in January 2016 to find published journal articles on the use of antibiotics in implant placement, according to the PRISMA guidelines. The inclusion criteria were prospective human clinical trials investigating antibiotic usage during implant placement. Fifteen studies were deemed suitable.
RESULTS: In 13 studies, no statistical difference was found between antibiotic use and the incidence of prosthetic failure, implant failure, and early postoperative infections. These were rated as having low to high risk bias. Contrary results were reported in two studies, both of which were rated as having a high potential for bias.
CONCLUSIONS: Antibiotic use in healthy patients for the prophylaxis of surgical infection associated with dental implant placement does not appear to improve clinical outcomes. Practitioners should apply principles of antimicrobial stewardship and not use antibiotics as a routine measure in healthy patients. This article is protected by copyright. All rights reserved.

PMID: 28543332 [PubMed - as supplied by publisher]