One of the issues that worries Maxillofacial Surgery Specialists the most is whether the use of antibiotics is necessary in implant surgeries. We think this issue is important.
Unnecessarily used antibiotics today unfortunately lead to the formation of bacterial species that are more resistant to antibiotics.
Because of the antibiotics consumed unnecessarily every year, our lives are much more threatened. Just as we enable the development of bacterial species that do not retreat easily, millions of lira are spent every year to develop new types of antibiotics that can defeat these new types of bacteria.
We can say that the questions we need to decide on this issue are as follows:
- Should Antibiotics Be Given Routinely to All Patients During Implant Operations?
- If antibiotics are to be given, should they be given before or after surgery?
- How many days should antibiotics be used after surgery?
- Which group of antibiotics should be preferred?
There are hundreds of studies done on this subject. As someone who has read and reviewed a significant number of articles on this subject, the articles I take into consideration the most are the consensus reports on this subject.
What is a consensus report? On any controversial issue, the final reports of the impartial panel of scientists who examine all articles written in important scientific journals are the most important sources of information.
Whether the use of antibiotics is necessary during the implant surgery period. Impartial scientists, who examined whether there is a scientific consensus, evaluated 846 articles of high scientific value and presented a consensus report on this issue last year. >
The use of antibiotics in implant placement surgeries reduces implant losses by only 2 percent.
In other words, according to this report, the use of antibiotic prophylaxis during implant placement does not prevent implant losses. show a small but statistically significant reduction in loss is.
Analysis suggests that the loss of one in every 50 implants due to not using antibiotics requires antibiotic prophylaxis.
But when you look at the details, it is actually the most important We see that the issue is related to the degree of complexity of the surgery.
In fact, in healthy individuals, in the presence of sufficient bone and gum tissue, the use of antibiotics in single tooth implant applications does not seem to have any benefit.
So we can say that the use of antibiotics in simple, uncomplicated implant applications in healthy people is of no benefit and is unnecessary.
However, what we call advanced applications are bone grafting procedures, bone transplant surgeries, bone graft application at the same time with the implant, soft tissue graft application at the same time as the implant, implant application at the same time as tooth extraction. Antibiotics are definitely recommended in advanced surgical procedures such as cases where multiple implants will be placed, sinus lifting surgery, serial tooth extraction and implant application at the same time.
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