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tannersmenard posted an update
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 who have lots of reps and years of experience. Is an antibiotic necessary prior to routine implant placement into healthy bone? What about if the patient is diabetic or a smoker? Any changes?
Thanks for the insight!
Khurrum, implantninja and 2 others7 Comments-
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 it helps with post-op discomfort and lowers risk of post-op infection.
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@ABauer91 Thanks for the feedback!
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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.3-
@bmoore94 Thanks for forwarding the screenshot. I appreciate it!
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Hi Tanner, I know its sort of a cop out, but I do it because Daniel Buser recommends it. He’s been the go-to implant guy for so many decades and I’ve heard arguments on both sides of the issue. But if Daniel Buser recommends it, dammit I’m gonna do it. lol
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@implantninja Well if the implant ninja does it, dammit I’m gonna do it
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