Results: 33

For: antibiotics

Study suggests that systemic antibiotics are not necessary for single dental implant placement


The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use.  The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]

Costs of routine antibiotic prophylaxis prescribing to dental patients in the USA


In March 2008 the National Institute for Health and Clinical Excellence (NICE) produced new guidance recommending the cessation of antibiotic prophylaxis for all patients at risk of infective endocarditis undergoing dental and a wide range of other invasive procedures. At the time this was controversial and although there were similar changes to recommendations in American [read the full story…]

Moderate evidence that prophylactic antibiotics reduce the risk of infection, dry socket and pain following third molar extraction but benefit not enough to recommend routine use

Logo of The Cochrane Collaboration

Tooth extraction is probably the most commonly conducted surgical procedure.  Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed.  To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]

Weak evidence suggests small additional benefit from the use of local antimicrobials as adjunct to scaling and root planning for chronic periodontitis patients


Scaling and root planning (SRP) is the main therapeutic approach to treating periodontitis. The adjunctive use of local antimicrobials has demonstrated some improvement in outcomes.  The aim of this review was to assess the effect on clinical outcomes of local antimicrobials as adjuncts to SRP, compared to SRP alone or plus placebo, in chronic periodontitis [read the full story…]

Should we use antibiotics to prevent complications from the removal of third molars?


The use of antibiotics to prevent complications from the removal of third molars is a cause of debate. The aim of this review was to assess the efficacy of antibiotics in preventing infectious complications after third molar surgery What did they do The Medline Embase, ,and Cochrane databases were searched together with the references in [read the full story…]

Systemic antibiotics as an adjunct to non-surgical periodontal treatment


Systemic and locally delivered antibiotics have been used as an adjunct to scaling and root planing (SRP) for the treatment of periodontal disease for many years. The aim of this review was to systematically evaluate the data concerning the effect of the concomitant administration of amoxicillin and metronidazole adjunctive to SRP in otherwise healthy adults. [read the full story…]

Limited benefit of slow release doxycycline gel as an adjunct to non-surgical periodontal maintenance treatment


The aim of this study was to evaluate the efficacy of a slow release doxycycline gel (SRD) administered as an adjunct to non-surgical therapy in subjects with recurrent or persistent periodontitis but acceptable oral hygiene during supportive periodontal care. What did they do Patients suffering from persistent or recurrent moderate to severe periodontitis and undergoing [read the full story…]

Amoxycillin not helpful for acute sinusitis


Acute sinusitis (rhinosinusitis) is a common disease with 1 in 5 antibiotic prescriptions for adults in the United States being for sinusitis.  US Centers for Disease Control  and Prevention (CDC) guidelines recommend using clinical criteria for diagnosis and  reserving antibiotic treatment for patients with moderately severe or severe symptoms.  The aim of this study was [read the full story…]

Better outcomes with metronidazole and amoxicillin as an adjunct to full mouth disinfection for patients with aggressive periodontitis

shutterstock_2092494 Dentist and assistant are examining you the patient

About 1 in 1000 susceptible patients suffers from aggressive periodontitis. Sufferers have more rapid  gingival attachment loss with some losing more that half their bony support by 35. This can be localised  to a small number of teeth or more generalised.  The aim of this study was to evaluate the adjunctive clinical and microbiological effects [read the full story…]

Some evidence to support adjunctive amoxicillin and metronidazole for treatment of chronic periodontitis


Chronic periodontitis affects between 5-20% of the population. Scaling and root planing (SRP) is one of the most effective methods of treatment. The aim of this review was to assess whether  the adjunct of amoxicillin and metronidazole (AMX/MET) to SRP increased its effectiveness compared to SRP alone. The authors searched eight databases and hand-searched a [read the full story…]