Antibiotic prophylaxis during oral implant surgery in Northwest China

Abstract

Abstract Background There is still no consensus on prophylactic antibiotics in dental implants in China. This study aims to further understand the current status of prophylactic antibiotics in dental implants in China and to provide evidence-based data for the guidelines of prophylactic antibiotic use in dental implants. Methods This study is based on a cross-sectional study of a National dental implant specialist member. The questionnaire survey was conducted from April to December of 2021.It consisted of three parts:the basic information of respondents, the cognitive environment of using prophylactic antibiotics in dental implants in Northwest China, and the use of antibacterial in dental implants.The conclusion was drawn by statistical analysis of the questionnaire survey. Results A total of 318 dentists were surveyed. Approximately 65.41% of respondents generally prescribed antibiotics during dental implant surgery, 33.65% just prescribed antibiotics under certain circumstances,and 0.94% never prescribed antibiotics. The most frequently-used antibiotic classes were penicillin (such as amoxicillin), cephalosporin (such as cefazolin), and nitroimidazole (such as metronidazole). It is common to treat patients with a combination of antibiotics. Furthermore, 55.87% of respondents used antibiotics for more than 24 hours in common dental implants, and 85.08% used antibioticsin dental implants with bone grafts. Conclusions Since there are no standards for regulations about the choice of varieties, dosage, and course of prescribing antibiotics during dental implants, the use of prophylactic antibiotics is largely based on the experience of dentists. Therefore, it’s necessary to formulate guidelines for using antibiotics in dental implants, improve the standardization of antibiotics, and prevent overuse and bacterial resistance.