CURRENT TRENDS IN ANTIBIOTICS PRESCRIPTION FOLLOWING DENTAL IMPLANT PLACEMENT. A HOSPITAL-BASED ASSESSMENT

Authors: Subasree SOUNDARAJAN, Priya lochana GAJENDRAN

Abstract:

Aim. To assess the antibiotics preferred by patients following implant placement in the hospital set up in Saveetha Institute of Medical & Technical Science (SIMATS). Materials and methods. This hospital-based study was carried out by retrospective analysis of the data from patient records. 574 records (assessed from June 2019 to March 2020) were studied. Parameters assessment – a) Demographic details: Patient name, Patient Identity number (PID no.), Age, Sex, Medical history, b) Implant parameters: Implant site, type of implant procedure (single versus multiple implants), bone grafting procedures, c) Antibiotic parameters: Drug of choice and dosage of antibiotics prescribed. Chi square tests were performed to assess the relationship between antibiotics with systemic status, single versus multiple implants, and bone grafting procedures. Results and discussion. A total number of 574 patients undergone dental implant placements. Around 1,269 implants were placed. The most commonly prescribed antibiotic was Amoxicillin 500 mg (80.84%), followed by a combination of amoxicillin 500 mg and metronidazole 400 mg (Flagyl) (13.94%), a combination of amoxicillin and clavulanic acid 625 mg (Augmentin) (4.53%), followed by a combination of Flagyl 400 mg and Augmentin 625 mg (0.7%). Chi square tests showed no statistically significant relationship between the antibiotics prescribed and systemic status of the patients, single versus multiple implants and bone grafting procedures. Conclusions. According to our study, the most commonly prescribed post operative antibiotic following implant placement is Amoxicillin 500 mg; there is no statistically significant relationship between the type of antibiotic prescribed and systemic status of the patients, single versus multiple implants and bone grafting procedures. Clinical significance. Antibiotic resistance has become a serious threat globally. Dentists prescribe about 7- 11% of all common antibiotics. Hence, it is important to study the current trends in their prescription following dental implant placement, and to design a suitable protocol.

Keywords:
  • amoxicillin
  • antibiotic prophylaxis
  • ANTIBIOTICS
  • dental implants
  • infection