• I am a general dentist who is fairly new in my implant journey. The previous owner placed quite a few implants and is adamant that a prophylactic antibiotic (often a course of amoxicillin starting the day before the procedure) is imperative and necessary.

    I have found literature on both sides of this issue. I am curious to hear others opinions…

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    Anthony and Nairy
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    • I usually do a loading dose and then a week of antibiotic. I also like to give either 8mg of dexamethasone (If not a diabetic) right before the appointment. In larger implant cases I will give loading dose of antibiotic day before (continue for week afterwards) and medrol dose pack (non-diabetics) the day before. It may be overkill but I think…

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    • Hi Tanner,
      I’m at a similar spot as you are so I can’t speak with years of personal experience. I decided for the time being to follow this protocol from Misch’s Contemporary Implant Dentistry. At the end of the day for liability it gives me something to turn to in case I need to justify my decision making.

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  • Just received my box of implant ninja books at the practice! Excited to dig into some holiday reading. 😅