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Implantology Oral Surgery Periodontics Prosthodontics Restorative Dentistry

How effective are antibiotics in the treatment of peri-implantitis?

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This summary is based on the article published in the International Dental Journal: Clinical efficacy of antibiotics in the treatment of peri-implantitis (August 2013)

Context 

Various treatment regimes for Peri-implantitis (PI) have been proposed in the literature. As it is known that bacteria can transfer from periodontally involved teeth to an implant, and that the microbes associated with PI resemble those of periodontal disease, local or systemic delivery of antibiotics with traditional PI treatment regimes may eliminate periodontopathogenic bacteria to a greater extent compared with when these treatment regimes are performed alone. This in turn may facilitate healing of PI sites. Locally and/or systemically delivered antibiotics could play essential roles in the treatment of PI; therefore, it is pertinent to investigate the type of antibiotic, dosage and duration of use that would be most effective for treating PI.

Purpose of the Study

The aim of the study is to review the pertinent literature with reference to the clinical efficacy of antibiotics in the treatment of peri-implantitis.

Key Messages

The significance of adjunctive antibiotic therapy in the treatment of peri-implantitis remains debatable.

 

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