Is Antibiotic Prophylaxis Necessary before Dental Implant Procedures in Patients with Orthopaedic Prostheses? A Systematic Review

doi:10.3390/antibiotics11010093

★ Alto impactoQ1 · Biochemistry, Genetics and Molecular BiologyImpact Factor · 5.77

AutoresÁngel-Orión Salgado-Peralvo, Juan‐Francisco Peña‐Cardelles, Naresh Kewalramani, Alvaro Garcia-Sanchez, María‐Victoria Mateos‐Moreno, Eugenio Velasco‐Ortega, Iván Ortiz-García, Álvaro Jiménez-Guerra, Dániel Végh, Ignacio Pedrinaci, Loreto Monsalve-Guil

Por qué importa

Ante la creciente demanda de implantes dentales en pacientes con prótesis ortopédicas, surge la duda sobre la necesidad de profilaxis antibiótica. Este análisis sistemático buscó evidencia sobre la prescripción rutinaria de antibióticos en estos casos para optimizar su uso y mitigar la resistencia antimicrobiana. Tras una exhaustiva búsqueda bibliográfica, se concluye que no existe evidencia científica que vincule los procedimientos de implantología dental con un mayor riesgo de infección en prótesis ortopédicas, desaconsejando así su justificación profiláctica en pacientes con prótesis. Curiosamente, las dosis recomendadas para la profilaxis en implantología son similares a las indicadas para prevenir infecciones protésicas.

Abstract original

As the population ages, more and more patients with orthopaedic prostheses (OPs) require dental implant treatment. Surveys of dentists and orthopaedic surgeons show that prophylactic antibiotics (PAs) are routinely prescribed with a very high frequency in patients with OPs who are about to undergo dental procedures. The present study aims to determine the need to prescribe prophylactic antibiotic therapy in patients with OPs treated with dental implants to promote their responsible use and reduce the risk of antimicrobial resistance. An electronic search of the MEDLINE database (via PubMed), Web of Science, LILACS, Google Scholar, and OpenGrey was carried out. The criteria used were those described by the PRISMA® Statement. No study investigated the need to prescribe PAs in patients with OPs, so four studies were included on the risk of infections of OPs after dental treatments with varying degrees of invasiveness. There is no evidence to suggest a relationship between dental implant surgeries and an increased risk of OP infection; therefore, PAs in these patients are not justified. However, the recommended doses of PAs in dental implant procedures in healthy patients are the same as those recommended to avoid infections of OPs.

Leer texto completo ↗DOI · 10.3390/antibiotics11010093

Autores Doctor&Cols

Cómo citar

Salgado-Peralvo Á, Peña‐Cardelles J, Kewalramani N, Garcia-Sanchez A, Mateos‐Moreno M, Velasco‐Ortega E, et al. Is Antibiotic Prophylaxis Necessary before Dental Implant Procedures in Patients with Orthopaedic Prostheses? A Systematic Review. Antibiotics. 2022. doi:10.3390/antibiotics11010093