In the 47(4), August 2021 issue of Journal of Oral Implantology, the editorial asked, “What is the proper antibiotic prophylaxis regimen for dental implant placement?” Considerations were the following:
This editorial will examine relevant literature regarding the need for possible additional postoperative antibiotic doses in medically compromised patients. The benefits of administering antibiotic prophylaxis both pre- and postoperatively are often misunderstood and can lead to irrational expectations and unnecessary use. The principles of antibiotic prophylaxis are well-known; however, they are not frequently followed. Pre- and postoperative antibiotic prophylaxis are beneficial only in select clinical scenarios. Proper antibiotic prophylaxis use is beneficial in patients with a compromised immune system, but unnecessary use may cause adverse effects. Implant clinicians must be aware of the indications and contraindications for postoperative antibiotic prophylaxis. Prophylactic antibiotics are indicated to diminish or eliminate surgical site and metastatic bacteremia in high risk patients.2
Clinicians take...
