Systemic Antibiotics in the Surgical Treatment of Peri-Implantitis: Impact on the Salivary Microbiome

IF 8.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Clinical Periodontology Pub Date : 2026-07-15 Epub Date: 2026-05-25 DOI:10.1111/jcpe.70143
Caroline Riben Grundström, Bodil Lund, Nagihan Bostanci, Angelika Silbereisen, Alexandra Pennhag, Ina Schuppe Koistinen, Yinghua Zha, Anastasios Damdimopoulos, Georgios N. Belibasakis, Margareta Hultin
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Abstract

Aim

To exploratorily compare the shifts in the salivary microbiome composition after administration of two combined systemic antibiotic regimens used in the surgical treatment of peri-implantitis.

Materials and Methods

A subset of 27 patients treated surgically for peri-implantitis with an adjunctive 7-day course of systemic antibiotics were included (group A, amoxicillin and metronidazole; group B, phenoxymethylpenicillin and metronidazole). Unstimulated saliva was collected before surgery followed by 8 days, 14 days, 6 months and 12 months post surgery. Microbiome profiling was performed using standardised and automated pipelines for DNA extraction and whole genome shotgun sequencing (WGS).

Results

WGS identified 498 species across 194 genera and 16 phyla, with Firmicutes and Actinobacteria being the most abundant. A distinct decrease in alpha diversity was observed on Day 8 relative to baseline across both antibiotic regimens, with signs of richness recovery by Day 14. Alpha and beta diversity analyses showed no statistically significant differences between interventions over the 12-month observation period.

Conclusion

Both adjunctive antibiotic regimens applied in the surgical treatment of peri-implantitis caused comparable ecological disturbances in the salivary microbiome, with no microbiological or clinical evidence supporting the superiority of one regimen over the other.

Trial Registration: ClinicalTrials.gov identifier: NCT02185209

Abstract Image

种植体周围炎手术治疗中的全身性抗生素:对唾液微生物组的影响。
目的:探讨在种植体周围炎手术治疗中,两种联合全身抗生素治疗方案对患者唾液微生物组成的影响。材料与方法:选取手术治疗种植体周围炎患者27例,并辅以7天全身性抗生素治疗(A组:阿莫西林+甲硝唑;B组:苯氧苄青霉素+甲硝唑)。术前、术后8天、术后14天、术后6个月、术后12个月采集非刺激唾液。微生物组分析使用标准化和自动化管道进行DNA提取和全基因组霰弹枪测序(WGS)。结果:WGS共鉴定出16门194属498种,其中厚壁菌门和放线菌门数量最多。与基线相比,两种抗生素治疗方案在第8天观察到α多样性明显下降,到第14天有丰富度恢复的迹象。α和β多样性分析显示,在12个月的观察期内,干预措施之间没有统计学上的显著差异。结论:在种植体周围炎的手术治疗中,两种辅助抗生素方案对唾液微生物组的生态干扰相当,没有微生物学或临床证据支持一种方案优于另一种方案。试验注册:ClinicalTrials.gov标识符:NCT02185209。
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来源期刊
Journal of Clinical Periodontology
Journal of Clinical Periodontology 医学-牙科与口腔外科
CiteScore
13.30
自引率
10.40%
发文量
175
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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