PROPHYLACTIC ANTIBIOTICS DURING THE IMPLANT PROSTHETIC PHASE MAY NOT SUBSTANTIALLY DECREASE THE INCIDENCE OF...

Area of Science:

• Oral surgery
• Periodontology
• Infectious disease

Background:

• The prosthetic phase of dental implants involves placing the final restoration.
• Preventive antibiotic use during this phase is common but debated.
• Antibiotic resistance is a growing global health concern.

Purpose of the Study:

• To systematically review the literature on the necessity of preventive antibiotics during the prosthetic phase of dental implants in healthy patients.
• To evaluate the evidence supporting or refuting the routine prescription of antibiotics at this stage.

Main Methods:

• A systematic literature search was conducted across multiple databases.
• Studies evaluating antibiotic prophylaxis during the prosthetic phase of dental implants were included.
• Data on infection rates and antibiotic efficacy were extracted and analyzed.

Main Results:

• The available evidence does not support the routine use of preventive antibiotics in healthy patients during the prosthetic phase of dental implants.
• No significant difference in infection rates was observed between patients receiving and not receiving prophylactic antibiotics.
• The risk of adverse effects and the development of antibiotic resistance associated with unnecessary antibiotic use was highlighted.

Conclusions:

• Routine antibiotic prophylaxis is not justified for healthy patients undergoing the prosthetic phase of dental implants.
• Clinical decisions regarding antibiotic prescription should be based on individual patient risk factors and evidence-based guidelines.
• Minimizing unnecessary antibiotic exposure is crucial for combating antimicrobial resistance.