Post‐Surgical Infections: Prevalence Associated With Various Periodontal Surgical Procedures

Powell, Col. Charles A.; Mealey, Brian L.; Deas, David E.; McDonnell, Howard T.; Moritz, Alan J.

doi:10.1902/jop.2005.76.3.329

Cited by 102 publications

(95 citation statements)

References 15 publications

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“…It is important to point out that although some authors have suggested that the adjunct use of antibiotics may reduce pain and swelling and improve healing, there is no sufficient evidence to support their use associated with periodontal surgery 32 . In an extensive review 33 of all the records available of periodontal surgeries in a sample of 395 patients and 1.053 periodontal surgery procedures, it was demonstrated that there were no benefits from antibiotics indication in these cases, due to the low rate of post-operative infections. Therefore, it is probable that the large number of indications found in the present study were made empirically.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases

Monteiro¹,

Ribeiro²,

Casarin³

et al. 2013

Braz. J. Oral Sci.

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Aim: To investigate the indication of systemic antimicrobial agents used by dental professionals for treatment of patients affected by periodontal diseases. Methods: Interviews by a questionnaire were held with 225 professionals of different dental specialties and who performed periodontal treatment. Results: Among interviewees, 94% indicated systemic antibiotics as a form of periodontal disease treatment. Their main indication was for periodontal abscesses (80%) followed by aggressive periodontitis (62%) and necrotizing diseases (45%). The most frequently used antibiotics were amoxicillin (81%) and metronidazole (57%). The medications were indicated in association with mechanical therapy by 67% of the professionals. As regards the occasion of indication, 60% indicated systemic antibiotic therapy before and after mechanical periodontal scaling and root planing. Seventy-eight percent of the professionals indicated antibiotics associated with periodontal surgery for access to scaling, and 76% indicated it before and after the surgical procedure. Among the interviewees, 99% took into account systemic involvement for drug administration. Conclusions: It was concluded that a considerable portion of professionals indicate systemic antibiotic-therapy in an incoherent manner and in situations in which there is no indication for antibiotic use, or with ineffective protocols.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases

Monteiro¹,

Ribeiro²,

Casarin³

et al. 2013

Braz. J. Oral Sci.

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“…La cirugía periodontal causa una bacteriemia transitoria que se reduce de forma significativa con la utilización de profilaxis antibiótica (85). Aunque la utilización de antibioterapia en los procedimientos de cirugía periodontal es muy discutida, las infecciones postoperatorias se producen a pesar de que la prevalencia de éstas infecciones sea baja (86). Al retirar las suturas se produce también una bacteriemia transitoria (87).…”

Section: Analisis De La Patologia Periodontalunclassified

Documento de consenso sobre la utilización de profilaxis antibiótica en cirugía y procedimientos dentales

Gutiérrez¹,

Bagán²,

Bascones³

et al. 2006

Rev Esp Cirug Oral y Maxilofac

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RESUMENLa profilaxis antibiótica en Odontología tiene como objetivo prevenir la aparición de infección a partir de la puerta de entrada que produce la actuación terapéutica, por lo que se encuentra indicada siempre que exista un riesgo importante de infección, ya sea por las características mismas de la operación o por las condiciones locales o generales del paciente. Sin embargo, los ensayos clínicos con antibióticos en patologías dentarias responden poco a los criterios metodológicos requeridos, y además no son lo suficientemente numerosos. Se presentan los resultados de una conferencia de expertos integrada por los Presidentes de Sociedades científicas españolas más representativas que han analizado la bibliografía existente y han aportado sus valiosas experiencias profesionales. Se describen las circunstancias técnicas, se analizan los fundamentos biológicos y farmacológicos y se aplican a las situaciones médicas más representativas. Se concluye que la profilaxis antibiótica en Odontología cuenta con indicaciones bien fundamentadas y precisas, ofreciendo a la comunidad científica internacional un protocolo práctico de actuación. Palabras clave: Profilaxis, antibióticos, odontología. ABSTRACTThe goal of antibiotic prophylaxis in Odontology is to prevent the onset of infections through the entranceway provided by the therapeutic action, therefore it is indicated providing there is a considerable risk of infection, either because of the characteristics of the operation itself or the patient's local or general condition. Nonetheless, clinical trials with antibiotics in dental pathologies have had scant regard for the required methodological criteria and, in addition, are not sufficiently numerous. This text presents the results of an expert conference comprising the Presidents of the most representative Scientific Societies in Spain who have analyzed the existing literature and have drawn on their valuable professional experience. It describes the technical circumstances, analyzes the biological and pharmacological foundations and their application to the most representa- INTRODUCCIONClásicamente se ha considerado la profilaxis como la administración pre-o peri-operatoria de un antibiótico para la prevención de una complicación infecciosa local y/o sistémica y sus correspondientes consecuencias clínicas. La finalidad de la profilaxis antibiótica en cirugía es prevenir la posible aparición de infección a nivel de la herida quirúr-gica, creando un estado de resistencia a los microorganismos mediante concentraciones antibióticas en sangre que eviten la proliferación y diseminación bacteriana a partir de la puerta de entrada que representa la herida quirúrgica. El 10% de las prescripciones antibióticas realizadas en nuestro país se utiliza para infecciones odontogénicas, y una parte significativa de ellas para profilaxis en cirugía y procedimientos dentales (1). Al igual que las recomendaciones acerca de la utilización de los antibióticos en el tratamiento de infecciones odontogénas, las recomendaciones de la profi...

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“…1,7,8 It may lead to postsurgical complications, such as excessive bleeding, infection, repositioning of the marginal gingiva, and inflammation. 7,9,10 Erbium lasers offer an alternative which is minimally invasive and eliminate most of the complications faced in a conventional procedure. 2 Healing time is also significantly reduced.…”

Section: Introductionmentioning

confidence: 99%

Erbium Laser-assisted Closed-flap Crown Lengthening: A Review of the Literature

Shah¹,

Pradhan²,

Bhattacharyya³

2015

International Journal of Laser Dentistry

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Crown lengthening is a preprosthetic surgical procedure that results in the exposure of more tooth structure and reestablishment of a more apical gingival margin. Traditionally, it is an open-flap surgical procedure. Smile designing is becoming an increasingly popular treatment option, and the use of lasers for a crown lengthening greatly enhances the patient acceptability while reducing chairside time. There are no controlled studies for this application of lasers, however, a number of clinical case reports do exist. This article mainly focuses on reviewing all the current literature on crown lengthening performed by erbium lasers and exploring the process to achieve the best results.

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Post‐Surgical Infections: Prevalence Associated With Various Periodontal Surgical Procedures

Cited by 102 publications

References 15 publications

Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases

Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases

Documento de consenso sobre la utilización de profilaxis antibiótica en cirugía y procedimientos dentales

Erbium Laser-assisted Closed-flap Crown Lengthening: A Review of the Literature

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