دورية أكاديمية

Effectiveness of prophylactic antibiotics at placement of dental implants: a pragmatic multicentre placebo-controlled randomised clinical trial.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of prophylactic antibiotics at placement of dental implants: a pragmatic multicentre placebo-controlled randomised clinical trial.
المؤلفون: Esposito M; School of Dentistry, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK. espositomarco@hotmail.com, Cannizzaro G, Bozzoli P, Checchi L, Ferri V, Landriani S, Leone M, Todisco M, Torchio C, Testori T, Galli F, Felice P
المصدر: European journal of oral implantology [Eur J Oral Implantol] 2010 Summer; Vol. 3 (2), pp. 135-43.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Quintessence Pub Country of Publication: England NLM ID: 101473719 Publication Model: Print Cited Medium: Print ISSN: 1756-2406 (Print) Linking ISSN: 17562406 NLM ISO Abbreviation: Eur J Oral Implantol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Surrey : Quintessence Pub.
مواضيع طبية MeSH: Antibiotic Prophylaxis* , Dental Implantation, Endosseous* , Dental Restoration Failure*, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amoxicillin/therapeutic use ; Anti-Bacterial Agents/therapeutic use ; Dental Implants ; Dental Prosthesis, Implant-Supported ; Dental Stress Analysis ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Postoperative Complications ; Statistics, Nonparametric ; Time Factors ; Young Adult
مستخلص: Purpose: To evaluate the efficacy of prophylactic antibiotics for dental implant placement.
Materials and Methods: Thirteen dentists working in private practices agreed to participate in this trial, each centre providing 50 patients. One hour prior to implant placement, patients were randomised to take orally 2 g amoxicillin or identical placebo tablets. Patients needing bone augmentation at implant placement were not included. Outcome measures were prosthesis and implant failures, adverse events and post-operative complications. Patients were seen 1 week, 2 weeks and 4 months post-operatively.
Results: Two centres did not deliver any data, two centres did not manage to include the agreed quota of patients and three patients had to be excluded. Two-hundred and fifty-two patients were evaluated in the antibiotic group and 254 in the placebo group, and none dropped out at 4 months. Four prostheses and seven implants (in five patients) failed in the antibiotics group versus 10 prostheses and 13 implants (in 12 patients) in the placebo group. Eleven complications were reported in the antibiotic group versus 13 (in 12 patients) in the placebo group. No side effects were reported. There were no statistically significant differences for prosthesis failures, implant losses and complications. Patients receiving immediate post-extractive implants had an increased failure risk compared with patients receiving delayed implants (9% versus 2%).
Conclusions: No statistically significant differences were observed, although trends clearly favoured the antibiotic group. Immediate post-extractive implants were more likely to fail.
المشرفين على المادة: 0 (Anti-Bacterial Agents)
0 (Dental Implants)
804826J2HU (Amoxicillin)
تواريخ الأحداث: Date Created: 20100713 Date Completed: 20100902 Latest Revision: 20220317
رمز التحديث: 20240829
PMID: 20623038
قاعدة البيانات: MEDLINE