Use of Antibiotics After Dental Implant

asked 1 year ago by Pinar in UK
Latest answer by Brian Dorfman, MD, DMD
Question viewed 697 times
Tags: antibiotic

I had an implant placed 2 days ago and been taking erythromicin for 3 days(1 day pre oper. and 2 after), but I had to stop because of severe side effects. I am alergic to penicilin, thus limited on choice. Is it too risky if I dont take them at all? The implant site seems fine, swollen but with no pain, even though i had some bone augmentation done (artificial) and membrane placed. My Dr says the protocol is 7 days of antibiotics.Also, if i re-start taking them, how long should i continue for?

6 answers to Use of Antibiotics After Dental Implant

Antibiotics after dental implants

Although no strict protocol for antibiotic use has been established within the field of implant dentistry, one must understand that placement of a dental implant involves instituting a foreign body within the human body. Titanium metal (which dental implants are made of) is biologically inert and will not be rejected by the human body. However, bacteria that may be on the implant surface prior to placement in your mouth can elicit a foreign body response, leading to... more

Michael Gulizio, DMD, MS
Manhattan Cosmetic Dentist

Antibiotic After Dental Implants

There has been numerous research papers written on this topic with no strict answer. Most surgeons, including myself prescribe an antibiotic for a week after implant placement. The theory is that the implant is a foreign body and is easily colonated by oral bacteria. This can lead to implant failure or infection of the implanted device. Since research has not provred this to a certainty, some surgeons choose not to place patients on antibiotics. An antibiotic... more

Brian Dorfman, MD, DMD
Phoenix Oral & Maxillofacial Surgeon

drbdorfman.com

Antibiotics After Implant Placement

If you had a considerable amount of bone grafting done with the placement of the implant it would certainly be a good idea to take a round of antibiotics. That being said, you are not ensuring an infection by any means ,if you choose not to take them. To be safe your doctor could switch you do a different antibiotic that you may tolerate better. If you are going to take them I would do a full seven day regimen. Clindamycin would be a good choice, but... more

Scott Young, DDS
Houston Cosmetic Dentist

Antibiotics after implant placement

The standard protocol in implant-related surgeries is based on the underlying research. Post- operative infection is one of the common factors of implant complications. Mouth cavity can never be a sterile environment no matter of what precautions be taken before the surgery and the degree of reinfecting the surgical site and the place where the implant is inserted is extremely high. This microflora can interfere with the process of post-surgical healing- implant osseointegration. So, the... more

Olga Kharevich, DMD, PhD
Miami Cosmetic Dentist

www.cosmeticreconstructivedentistry.com

Antibiotics after implant surgery

I also recommend antibiotics to my patients, usually for 7 days to help prevent infection, specially if it is a more complex treatment requiring grafting. However, this does not mean that one will have infection if they don't take antibiotics. It is just a preventive measure. If you are sensitive to Erythromycin, the Clindamycin is a good alternative.

H. Ryan Kazemi, DMD
Bethesda Oral & Maxillofacial Surgeon

www.facialart.com

Antibiotics after dental implant is a good idea, but may be fine without

Success with dental implants is a factor of probabilities. The odds for success increase with more precautions, pre-surgical planning and post-operative care. Implant success rates are very high, usually quoted in the 98% success range. Success goes down if the patient does not care for the site after the surgery, it goes down if there is presence of infection or poor bone quality and goes down if the design of the implant is not correct for the situation (among many... more

Lance Timmerman, DMD
Seattle Cosmetic Dentist

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