The Influence of Preoperative Antibiotics on Success of Endosseous Implants at 36 Months

Daniel M. Laskin, C. Daniel Dent, Harold F. Morris, Shigeru Ochi, John W. Olson
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引用次数: 128

Abstract

The benefits of prophylactic antibiotics are well recognized in dentistry. However, their routine use in the placement of endosseous dental implants remains controversial. As part of the comprehensive Dental Implant Clinical Research Group (DICRG) clinical implant study, the preoperative or postoperative use of antibiotics, the type used, and the duration of coverage were left to the discretion of the surgeon. These data for 2,973 implants were recorded and correlated with failure of osseointegration during healing (Stage 1), at surgical uncovering (Stage 2), before loading the prosthesis (Stage 3), and from prosthesis loading to 36 months (Stage 4). The results showed a significantly higher survival rate at each stage of treatment in patients who had received preoperative antibiotics. Ann Periodontol 2000;5:166-174.

术前抗生素对36个月骨内植入成功的影响
预防性抗生素的好处在牙科领域得到了广泛认可。然而,它们在植入牙内种植体中的常规应用仍然存在争议。作为综合牙科种植临床研究小组(DICRG)临床种植研究的一部分,术前或术后使用抗生素,使用的类型和覆盖时间由外科医生自行决定。记录了2,973个种植体的这些数据,并将其与愈合期间(第1阶段)、手术揭露时(第2阶段)、植入假体之前(第3阶段)以及植入假体至36个月(第4阶段)的骨整合失败进行了关联。结果显示,术前接受抗生素治疗的患者在每个治疗阶段的存活率都明显更高。Ann periodontoto2000,5:166-174。
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