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Abstract

Purpose: The purpose of this retrospective study was to compare the efficacy of the pre-operative prophylaxis plus 5-days post-operative dosing and only 5-days post-operative dosing with no-antibiotics use.Material and Methods: 150 dental implant patients and 403 implants were included to the study. Complications (infection, implant loss, wound dehiscence and hemorrhage) and patient’s complaints (pain, edema, hematoma, gastrointestinal complaints) were evaluated. Results: No patients were reported any gastrointestinal complaints and hemorrhage. The majority of the patients had edema after implant surgery. No significant differences with regard to rest of the complications and patients complaints were found in the study.Conclusion: According to the results of this study, prophylactic antibiotic use for 5-days in implant surgery does not have benefit over any antibiotics use. Long-term randomized studies with higher numbers of patients are needed to provide more credible evidence.

Keywords

• Implant, antibiotic, prophylaxis, implant survival rate

İMPLANTLARIN ERKEN DÖNEM BAŞARISINA PROFLAKTİK ANTİBİYOTİK KULLANILMASININ ETKİSİ

Abstract

Amaç: Bu retrospektif çalışmanın amacı pre-operatif doz ile birlikte post-operatif 5 gün veya sadece post-operatif 5 gün boyunca antibiyotik profilaksisi yapılması ile hiç antibiyotik kullanılmamasının etkinliğini karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya 150 hasta 403 implant dâhil edilmiştir. Komplikasyonlar (enfeksiyon, implant kaybı, yara kenarında açılma, kanama) ve subjektif hasta şikayetleri (ağrı, ödem, hematom, gastrointestinal şikâyet) değerlendirilmiştir. Bulgular: Hiçbir hasta gastrointestinal şikâyet veya hemoraji bildirmemiştir. Hastaların çoğunda ödem görülmüştür. Çalışma grupları arasında diğer komplikasyonlar ve şikâyetler arası istatistiksel olarak anlamlı fark bulunmamıştır. Sonuç: Bu çalışmanın sonuçları, 5 gün süre ile uygulanan antibiyotik profilaksisinin hiç antibiyotik kullanılmamasına göre üstünlük kazandırmadığını göstermektedir. Kesin sonuçlara varmak için hasta sayısının yüksek olduğu uzun dönemli randomize takip çalışmaları gerekmektedir.

Keywords

• İmplant, antibiyotik, profilaksi, implant başarı oranı

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23. İstanbul Üniversitesi Diş Hekimliği Fakültesi Oral İmplantoloji A.D. 34093 Çapa-Fatih/İSTANBUL Tel: [phone] e-posta: [e-mail]