Antibiotic Prophylaxis for Tooth Extractions and Dental Implants, A Narrative Review
Current Infectious Disease Reports
Purpose of the review
The aim of this review was to summarize recent evidence regarding recommendations for antibiotic prophylaxis in healthy patients undergoing dental extractions or implant procedures to prevent post extraction surgical site infection or implant failure.
Most studies identified in this review show little to no benefit of antibiotic prophylaxis in preventing surgical site infection following dental extractions including simple and surgical extractions on all teeth including third molars. The benefit of antibiotic prophylaxis to prevent implant failure may outweigh the risks associated with antibiotic use in straightforward implant procedures. However, antibiotic prophylaxis may be required in cases that are complex implant procedures requiring bone augmentation.
Available evidence suggests prophylactic antibiotics are not necessary for extractions and for straightforward implant placement. However, evidence suggests that prophylactic antibiotics may be necessary for complex implant procedures when bone augmentation is needed, and clinicians are recommended to review the risks and benefits of antibiotic use in these cases prior to use. National clinical practice guidelines are needed to support evidenced based decision making for oral health clinicians in providing the safest dental care for their patients.
Khouja T, Kennedy E, Suda KJ. Antibiotic Prophylaxis for Tooth Extractions and Dental Implants, A Narrative Review. Current Infectious Disease Reports. 2023; 25. doi: 10.1007/s11908-023-00802-y.