Earlier this month (Dental Elf 13th Feb 2013) we reported on a study looking at whether systemic antibiotics were necessary for the placement of dental implants. That study suggested that antibiotics were not necessary for the placement of single implants. Today we look at another study that looked at the influence of pre-operative antibiotics on [read the full story…]
The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use. The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]
In March 2008 the National Institute for Health and Clinical Excellence (NICE) produced new guidance recommending the cessation of antibiotic prophylaxis for all patients at risk of infective endocarditis undergoing dental and a wide range of other invasive procedures. At the time this was controversial and although there were similar changes to recommendations in American [read the full story…]
Tooth extraction is probably the most commonly conducted surgical procedure. Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed. To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]
Scaling and root planning (SRP) is the main therapeutic approach to treating periodontitis. The adjunctive use of local antimicrobials has demonstrated some improvement in outcomes. The aim of this review was to assess the effect on clinical outcomes of local antimicrobials as adjuncts to SRP, compared to SRP alone or plus placebo, in chronic periodontitis [read the full story…]
The use of antibiotics to prevent complications from the removal of third molars is a cause of debate. The aim of this review was to assess the efficacy of antibiotics in preventing infectious complications after third molar surgery What did they do The Medline Embase, ,and Cochrane databases were searched together with the references in [read the full story…]
Systemic and locally delivered antibiotics have been used as an adjunct to scaling and root planing (SRP) for the treatment of periodontal disease for many years. The aim of this review was to systematically evaluate the data concerning the effect of the concomitant administration of amoxicillin and metronidazole adjunctive to SRP in otherwise healthy adults. [read the full story…]
The aim of this study was to evaluate the efficacy of a slow release doxycycline gel (SRD) administered as an adjunct to non-surgical therapy in subjects with recurrent or persistent periodontitis but acceptable oral hygiene during supportive periodontal care. What did they do Patients suffering from persistent or recurrent moderate to severe periodontitis and undergoing [read the full story…]
Acute sinusitis (rhinosinusitis) is a common disease with 1 in 5 antibiotic prescriptions for adults in the United States being for sinusitis. US Centers for Disease Control and Prevention (CDC) guidelines recommend using clinical criteria for diagnosis and reserving antibiotic treatment for patients with moderately severe or severe symptoms. The aim of this study was [read the full story…]
About 1 in 1000 susceptible patients suffers from aggressive periodontitis. Sufferers have more rapid gingival attachment loss with some losing more that half their bony support by 35. This can be localised to a small number of teeth or more generalised. The aim of this study was to evaluate the adjunctive clinical and microbiological effects [read the full story…]
