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Published in: Oral and Maxillofacial Surgery 4/2020

01-12-2020 | Antibiotic | Original Article

Efficacy of preoperative antibiotics in prevention of dental implant failure: a Meta-analysis of randomized controlled trials

Authors: Anuj Jain, Anshul Rai, Abhinav Singh, Saumya Taneja

Published in: Oral and Maxillofacial Surgery | Issue 4/2020

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Abstract

Background

Dental implants are commonly used for replacement of missing teeth. Despite the published data highlighting the high success rate of dental implants, failures do occur. Some of these failures are believed to be a result of bacterial contamination at the site of implant insertion. Various antibiotic regimens have already been suggested to prevent failure due to infection.

Objective

This meta-analysis aims to examine the efficacy of preoperative antibiotics in prevention of dental implant failure secondary to infections.

Methodology

An exhaustive search was conducted on electronic database including PubMed Medline, Google Scholar, Scopus, and Cochrane on July 15, 2019. All the randomized controlled trials (RCT) comparing preoperative antibiotics with no antibiotics/placebo in dental implants were included in the study. The primary outcome for assessment was implant failure. A random effect meta-analysis was conducted for risk ratios of dichotomous data.

Results

A total 8544 abstracts were screened following which 16 full text articles were reviewed and 5 RCTs were included in the analysis. Meta-analysis results indicated that the preoperative antibiotics resulted in statistically significantly lower number of implant failures.

Conclusion

Preoperative antibiotics effectively reduce the implant failure rate. However, it is recommended to conduct large-scale RCT to determine the efficacy of preoperative antibiotics in dental implants.
Appendix
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Literature
1.
go back to reference Esposito M, Hirsch J-M, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants. (I) Success criteria and epidemiology. Eur J Oral Sci 106:527–551CrossRefPubMed Esposito M, Hirsch J-M, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants. (I) Success criteria and epidemiology. Eur J Oral Sci 106:527–551CrossRefPubMed
2.
go back to reference Esposito M, Hirsch J-M, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants. (II) Eur J Oral Sci 106:721–764CrossRefPubMed Esposito M, Hirsch J-M, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants. (II) Eur J Oral Sci 106:721–764CrossRefPubMed
3.
go back to reference Isla A, Canut A, Gascon AR, Labora A, Ardanza-Trevijano B, Solinis MA, Pedraz JL (2005) Pharmacokinetic/pharmacodynamics evaluation of antimicrobial treatments of orofacial odontogenic infections. Clin Pharm 44:305–316CrossRef Isla A, Canut A, Gascon AR, Labora A, Ardanza-Trevijano B, Solinis MA, Pedraz JL (2005) Pharmacokinetic/pharmacodynamics evaluation of antimicrobial treatments of orofacial odontogenic infections. Clin Pharm 44:305–316CrossRef
4.
go back to reference Binahmed A, Stoykewych A, Peterson L (2005) Single preoperative dose versus long-term prophylactic antibiotic regimens in dental implant surgery. Int J Oral Maxillofac Implants 20:115–117PubMed Binahmed A, Stoykewych A, Peterson L (2005) Single preoperative dose versus long-term prophylactic antibiotic regimens in dental implant surgery. Int J Oral Maxillofac Implants 20:115–117PubMed
5.
go back to reference Laskin DM, Dent CD, Morris HF, Ochi S, Olson JW (2000) The influence of preoperative antibiotics on success of endosseous implants at 36 months. Ann Periodontol 5:166–174CrossRefPubMed Laskin DM, Dent CD, Morris HF, Ochi S, Olson JW (2000) The influence of preoperative antibiotics on success of endosseous implants at 36 months. Ann Periodontol 5:166–174CrossRefPubMed
6.
go back to reference Gynther GW, Kondell PA, Moberg L-E, Heimdahl A (1998) Dental implant installation without antibiotic prophylaxis. Oral Surg Orla Med Oral Pathol Pral Radiol Endod 85:509–511CrossRef Gynther GW, Kondell PA, Moberg L-E, Heimdahl A (1998) Dental implant installation without antibiotic prophylaxis. Oral Surg Orla Med Oral Pathol Pral Radiol Endod 85:509–511CrossRef
7.
go back to reference Dent CD, Oslon JW, Farish SE, Bellome J, Casino AJ, Morris HF, Ochi S (1997) The influence of preoperative antibiotics on success of endosseous implants up to and including stage II surgery: a study of 2,641 implants. J Oral Maxillofac Surg 55(Suppl 5):19–24CrossRefPubMed Dent CD, Oslon JW, Farish SE, Bellome J, Casino AJ, Morris HF, Ochi S (1997) The influence of preoperative antibiotics on success of endosseous implants up to and including stage II surgery: a study of 2,641 implants. J Oral Maxillofac Surg 55(Suppl 5):19–24CrossRefPubMed
8.
go back to reference Esposito M, Coulthard P, Oliver R, Thomsen P, Worthington HV. Antibiotics to prevent complication following dental implant treatment. Cochrane Database Syst Rev. 2003;CD004152 Esposito M, Coulthard P, Oliver R, Thomsen P, Worthington HV. Antibiotics to prevent complication following dental implant treatment. Cochrane Database Syst Rev. 2003;CD004152
9.
go back to reference Khouly I, Braun RS, Chambrone L (2019) Antibiotic prophylaxis may not be indicated for prevention of dental implant infections in healthy patients. A systematic review and meta-analysis. Clin Oral Investig 23(4):1525–1553CrossRefPubMed Khouly I, Braun RS, Chambrone L (2019) Antibiotic prophylaxis may not be indicated for prevention of dental implant infections in healthy patients. A systematic review and meta-analysis. Clin Oral Investig 23(4):1525–1553CrossRefPubMed
10.
go back to reference Anitua E, Aguirre JJ, Gorosabel A, Barrio P, Errazquin JM, Román P, Pla R, Carrete J, de Petro J, Orive G (2009) A multicentre placebo-controlled randomised clinical trial of antibiotic prophylaxis for placement of single dental implants. Eur J Oral Implantol 2(4):283–292PubMed Anitua E, Aguirre JJ, Gorosabel A, Barrio P, Errazquin JM, Román P, Pla R, Carrete J, de Petro J, Orive G (2009) A multicentre placebo-controlled randomised clinical trial of antibiotic prophylaxis for placement of single dental implants. Eur J Oral Implantol 2(4):283–292PubMed
12.
go back to reference Esposito M, Cannizzaro G, Bozzoli P, Checchi L, Ferri V, Landriani S, Leone M, Todisco M, Torchio C, Testori T, Galli F, Felice P (2010) Effectiveness of prophylactic antibiotics at placement of dental implants: a pragmatic multicentre placebo-controlled randomised clinical trial. Eur J Oral Implantol. 3(2):135–143PubMed Esposito M, Cannizzaro G, Bozzoli P, Checchi L, Ferri V, Landriani S, Leone M, Todisco M, Torchio C, Testori T, Galli F, Felice P (2010) Effectiveness of prophylactic antibiotics at placement of dental implants: a pragmatic multicentre placebo-controlled randomised clinical trial. Eur J Oral Implantol. 3(2):135–143PubMed
13.
go back to reference Esposito M, Cannizzaro G, Bozzoli P, Consolo U, Felice P, Ferri V, Landriani S, Leone M, Magliano A, Pellitteri G, Todisco M, Torchio C (2008) Efficacy of prophylactic antibiotics for dental implants: a multicenter placebo-controlled randomized clinical trial. Eur J Oral Implantol 1:23–31PubMed Esposito M, Cannizzaro G, Bozzoli P, Consolo U, Felice P, Ferri V, Landriani S, Leone M, Magliano A, Pellitteri G, Todisco M, Torchio C (2008) Efficacy of prophylactic antibiotics for dental implants: a multicenter placebo-controlled randomized clinical trial. Eur J Oral Implantol 1:23–31PubMed
14.
go back to reference Nolan R, Kemmoona M, Polyzois I, Claffey N (2014) The influence of prophylactic antibiotic administration on post-operative morbidity in dental implant surgery. A prospective double blind randomized controlled clinical trial. Clin Oral Implants Res 25(2):252–259. https://doi.org/10.1111/clr.12124 Epub 2013 Feb 13CrossRefPubMed Nolan R, Kemmoona M, Polyzois I, Claffey N (2014) The influence of prophylactic antibiotic administration on post-operative morbidity in dental implant surgery. A prospective double blind randomized controlled clinical trial. Clin Oral Implants Res 25(2):252–259. https://​doi.​org/​10.​1111/​clr.​12124 Epub 2013 Feb 13CrossRefPubMed
15.
go back to reference Blatt S, Al-Nawas B (2019) A systematic review of latest evidence for antibiotic prophylaxis and therapy in oral and maxillofacial surgery. Infection. 47(4):519–555CrossRefPubMed Blatt S, Al-Nawas B (2019) A systematic review of latest evidence for antibiotic prophylaxis and therapy in oral and maxillofacial surgery. Infection. 47(4):519–555CrossRefPubMed
16.
go back to reference Arteagoitia MI, Barbier L, Santamaria J, Santamaria G, Ramos E (2016) Efficacy of amoxicillin and amoxicillin/clavulanic acid in the prevention of infection and dry socket after third molar extraction. A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. https://doi.org/10.4317/medoral.21139 Arteagoitia MI, Barbier L, Santamaria J, Santamaria G, Ramos E (2016) Efficacy of amoxicillin and amoxicillin/clavulanic acid in the prevention of infection and dry socket after third molar extraction. A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. https://​doi.​org/​10.​4317/​medoral.​21139
17.
go back to reference Ramos E, Santamaria J, Santamaria G, Barbier L, Arteagoitia I (2016) Do systemic antibiotics prevent dry socket and infection after third molar extraction? A systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 122:403–425CrossRefPubMed Ramos E, Santamaria J, Santamaria G, Barbier L, Arteagoitia I (2016) Do systemic antibiotics prevent dry socket and infection after third molar extraction? A systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 122:403–425CrossRefPubMed
18.
go back to reference Marcussen KB, Laulund AS, Jorgensen HL, Pinholt EM (2016) A systematic review on effect of single-dose preoperative antibiotics at surgical osteotomy extraction of lower third molars. J Oral Maxillofac Surg 74:693–703CrossRefPubMed Marcussen KB, Laulund AS, Jorgensen HL, Pinholt EM (2016) A systematic review on effect of single-dose preoperative antibiotics at surgical osteotomy extraction of lower third molars. J Oral Maxillofac Surg 74:693–703CrossRefPubMed
21.
go back to reference Orenstein IH, Petrazzuolo V, Morris HF, Ochi S (2000) Variables affecting survival of single-tooth hydroxyapatite-coated implants in anterior maxillae at 3 years. Ann Periodontol 5(1):68–78CrossRefPubMed Orenstein IH, Petrazzuolo V, Morris HF, Ochi S (2000) Variables affecting survival of single-tooth hydroxyapatite-coated implants in anterior maxillae at 3 years. Ann Periodontol 5(1):68–78CrossRefPubMed
22.
go back to reference Bryce G, Bomfim DI, Bassi GS (2014) Pre- and post- operative management of dental implant placement, part 2: management of early-presenting complications. Br Dent J 217(4):171–176CrossRefPubMed Bryce G, Bomfim DI, Bassi GS (2014) Pre- and post- operative management of dental implant placement, part 2: management of early-presenting complications. Br Dent J 217(4):171–176CrossRefPubMed
23.
go back to reference Escalante MG, Eubank TD, Leblebicioglu B, Walters JD (2015) Comparison of azithromycin and amoxicillin before dental implant placement: an exploratory study of bioavailability and resolution of postoperative inflammation. J Periodontol 86(11):1190–1200CrossRefPubMedPubMedCentral Escalante MG, Eubank TD, Leblebicioglu B, Walters JD (2015) Comparison of azithromycin and amoxicillin before dental implant placement: an exploratory study of bioavailability and resolution of postoperative inflammation. J Periodontol 86(11):1190–1200CrossRefPubMedPubMedCentral
24.
go back to reference Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A (2016) Factors influencing early dental implant failures. J Dent Res 95(9):995–1002CrossRefPubMed Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A (2016) Factors influencing early dental implant failures. J Dent Res 95(9):995–1002CrossRefPubMed
25.
go back to reference Antoun H, Karouni M, Abitbol J, Zouiten O, Jemt T (2017) A retrospective study on 1592 consecutively performed operations in one private referral clinic, part I: early inflammation and early implant failures. Clin Implant Dent Relat Res 19(3):404–412CrossRefPubMed Antoun H, Karouni M, Abitbol J, Zouiten O, Jemt T (2017) A retrospective study on 1592 consecutively performed operations in one private referral clinic, part I: early inflammation and early implant failures. Clin Implant Dent Relat Res 19(3):404–412CrossRefPubMed
26.
go back to reference Grisar K, Sinha D, Schoenaers J, Dormaar T, Politis C (2017) Retrospective analysis of dental implants placed between 2012 and 2014: indications, risk factors, and early survival. Int J Oral Maxillofac Implants 32(3):649–654CrossRefPubMed Grisar K, Sinha D, Schoenaers J, Dormaar T, Politis C (2017) Retrospective analysis of dental implants placed between 2012 and 2014: indications, risk factors, and early survival. Int J Oral Maxillofac Implants 32(3):649–654CrossRefPubMed
27.
go back to reference Park JS, Tennant M, Walsh LJ, Kruger E (2018) Is there a consensus on antibiotic usage for dental implant placement in healthy patients? Aust Dent J 63(1):25–33CrossRefPubMed Park JS, Tennant M, Walsh LJ, Kruger E (2018) Is there a consensus on antibiotic usage for dental implant placement in healthy patients? Aust Dent J 63(1):25–33CrossRefPubMed
28.
go back to reference Chrcanovic BR, Albrektsson T, Wennerberg A (2015) Smoking and dental implants: a systematic review and meta-analysis. J Dent 43(5):487–498CrossRefPubMed Chrcanovic BR, Albrektsson T, Wennerberg A (2015) Smoking and dental implants: a systematic review and meta-analysis. J Dent 43(5):487–498CrossRefPubMed
29.
go back to reference Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A (2018) A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years. Clin Implant Dent Relat Res 20(2):199–207CrossRefPubMed Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A (2018) A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years. Clin Implant Dent Relat Res 20(2):199–207CrossRefPubMed
30.
go back to reference Horikawa T, Odatsu T, Itoh T, Soejima Y, Morinaga H, Abe N, Tsuchiya N, Iijima T, Sawase T (2017) Retrospective cohort study of rough-surface titanium implants with at least 25 years’ function. Int J Implant Dent 3(1):42CrossRefPubMedPubMedCentral Horikawa T, Odatsu T, Itoh T, Soejima Y, Morinaga H, Abe N, Tsuchiya N, Iijima T, Sawase T (2017) Retrospective cohort study of rough-surface titanium implants with at least 25 years’ function. Int J Implant Dent 3(1):42CrossRefPubMedPubMedCentral
31.
go back to reference Lin G, Ye S, Liu F, He F (2018) A retrospective study of 30,959 implants: risk factors associated with early and late implant loss. J Clin Periodontol 45(6):733–743CrossRefPubMed Lin G, Ye S, Liu F, He F (2018) A retrospective study of 30,959 implants: risk factors associated with early and late implant loss. J Clin Periodontol 45(6):733–743CrossRefPubMed
32.
go back to reference Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A (1997) Factors affecting the survival rate up to and including stage II surgery: a study of 2,641 implants. J Oral Maxillofac Surg 55(12 suppl 5):19–24 Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A (1997) Factors affecting the survival rate up to and including stage II surgery: a study of 2,641 implants. J Oral Maxillofac Surg 55(12 suppl 5):19–24
Metadata
Title
Efficacy of preoperative antibiotics in prevention of dental implant failure: a Meta-analysis of randomized controlled trials
Authors
Anuj Jain
Anshul Rai
Abhinav Singh
Saumya Taneja
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Keyword
Antibiotic
Published in
Oral and Maxillofacial Surgery / Issue 4/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-020-00872-5

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