抗生素预防对没有经验的操作人员安装的植入物早期损失的影响
Leticia de Santana Mascarenhas1, Karine Lima Pedreira2, Fabiana Duarte Cosme3
1Dental Postgraduate Program, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
The Journal of oral implantology
|September 30, 2023
概括
抗生素预防可显著降低牙植入物损失,治疗经验较少的临床医生治疗的患者. 虽然抗生素不会影响即时的愈合或疼痛,但在这种特定的外科背景下,抗生素对植入物存活至关重要.
科学领域:
- 在口腔外科手术.
- 牙科植入物学 牙科植入物学
- 预防传染病 预防传染病
背景情况:
- 抗生素预防在牙科植入物手术中很常见,以防止感染和植入物失败.
- 常规抗生素使用的必要性和有效性在科学文献中仍然存在争议.
研究的目的:
- 评估抗生素预防对牙科植入物存活率的影响.
- 评估未经验的操作人员进行植入植入体的临床健康患者的结果.
主要方法:
- 这是一项双盲,随机,安慰剂控制的试验,涉及90名接受2-4种植入物的患者.
- 患者接受了手术前1g的阿莫西西林或安慰剂.
- 评估包括术后愈合,疼痛,胀,感染迹象和植入物存活时间长达90天.
主要成果:
- 两组之间在术后愈合,胀或疼痛方面没有发现显著差异.
- 在抗生素组观察到牙植入物损失的统计显著减少 (2.3%与安慰剂组的14.9%相比).
结论:
- 抗生素预防有效地减少了牙植入物损失,当没有经验的操作员放置时.
- 这些发现表明,在牙科植入体手术的特定场景中,使用抗生素有好处,以提高存活率.
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