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drcajee posted an update
Hey Guys. I have an immediate implant for site #7 with a signif PARL, prob cystic. pt has no significant reported med hx. As this case approaches im asking myself weather physical debridments and pre/post op abx are enough to prevent infection/early failure. Thankfully in general after 8 years of placing implants ive only had a few of early implant failtures, with 90%+ being in immediate RCT sites. As I place an implant in this site this afternoon, im considering chemical irrigation of thr socket prior to osteomy with either Chlorhexine or Iodine. Do any of you use these routinely to irrigated infected sites, Or do you have a strong opinion for one or against another?
Jedediah, jostanger and Ivan5 Comments-
Because CHX can inhibit fibroblasts and osteoblasts I’m always wary of using it in these cases. I go the systemic abx route.
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@jostanger Thanks for sharing Joelle! Im curious, do you provide systemic antibiotics and then intraoperatively just use saline? or do you also use a chemical for local disinfection?
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@ivan-chicchon Saline! Rinse it out like crazy LOL
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@jostanger I’ve messed around with various agents. But honestly haven’t been able to discern big differences. I haven’t delved deep into the literature. But from what little I have read, it seems there is no consensus on what disinfecting agent works best. Is that accurate, Joelle?
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I find peridex to be highly effective in infected extraction sites and use it regularly with great success of many immediate implants. I don’t find the negative effects to be clinically significant b/c the site to continually bleeding. I don’t use it for healing post op and many other situations but after extracting infected teeth and those infected bony sites it is very useful.
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