Evidence map›Paper›PMID 39054434›Full record

SynthesisBMC oral health2024

Is routine antibiotic prophylaxis warranted in dental implant surgery to prevent early implant failure? - a systematic review.

Palwasha Momand, Aron Naimi-Akbar, Margareta Hultin, Bodil Lund, Bengt Götrick

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Palwasha MomandDepartment of Orofacial Medicine, Faculty of Odontology, Malmö University, Malmö, SE-20506, Sweden. Palwasha.momand@mau.se.
Aron Naimi-AkbarFaculty of Odontology, Health Technology Assessment-Odontology (HTA-O), Malmö University, Malmö, Sweden.
Margareta HultinDepartment of Dental Medicine, Division of Periodontology, Karolinska Institutet, Stockholm, Sweden.
Bodil LundDepartment of Dental Medicine, Karolinska Institute, Stockholm, Sweden.
Bengt GötrickDepartment of Orofacial Medicine, Faculty of Odontology, Malmö University, Malmö, SE-20506, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe question of whether antibiotic prophylaxis should be administered routinely for dental implant surgery is unresolved. Despite the lack of conclusive supportive evidence, antibiotics are often administered to reduce the risk of infection, which could lead to early implant failure. Increasing antibiotic resistance is a major concern and it is therefore important to reduce the overall use of antibiotics, including in dentistry. The aim of the present systematic review and meta-analysis was to evaluate the efficacy of preoperative antibiotics in preventing early implant failure, in overall healthy patients undergoing dental implant surgery.

methodsAn electronic search was undertaken of PubMed (Medline), Web of Science and the Cochrane Library up to October 1

resultsAfter removal of duplicates, 1086 abstracts were screened, and 17 articles were reviewed in full text. Seven RCTs with moderate or low risk of bias and with a total of 1859 patients and 3014 implants were included in the meta-analysis. With reference to early implant failure at patient level, the meta-analysis failed to disclose any statistically significant difference (RR: 0.66, 95% CI: 0.30-1.47) between antibiotic prophylaxis and a placebo. The risk difference was -0.007 (95% CI: -0.035-0.020) leading to a number needed to treat (NNT) of 143.

conclusionAntibiotic prophylaxis for dental implant surgery does not seem to have any substantial effect on early implant failure ( ). The results do not support routine antibiotic prophylaxis for dental implant surgery.

Indexed as

Antibiotic ProphylaxisDental Implantation, EndosseousDental Restoration FailureSurgical Wound InfectionAnti-Bacterial AgentsDental ImplantsHumansRandomized Controlled Trials as TopicAnti-Bacterial AgentsDental ImplantsAntibiotic prophylaxisDental implantsImplant failure

Identifiers

PMID39054434
PMCPMC11270919

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.