İMPLANTLARIN ERKEN DÖNEM BAŞARISINA PROFLAKTİK ANTİBİYOTİK KULLANILMASININ ETKİSİ

Yıl 2013, Cilt: 47 Sayı: 1, 38 - 46, 14.05.2013

Nilüfer Bölükbaşı Sinem Yeniyol Sinem Yeniyol Tayfun Özdemir Tayfun Özdemir

Öz

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.

Anahtar Kelimeler

İmplant, antibiyotik, profilaksi, implant başarı oranı

Kaynakça

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