Influence of Clindamicyn and Amoxicillin in early dental implant failure
Influence of preoperative clindamicyn and amoxicillin in reducing early dental implant failure. A randomised controlled clinical trial.
Diego Pradillo Gallego
82 participants
Jun 18, 2024
Interventional
Conditions
Summary
The purpose of the study is to compare the use of preoperative Clindamycin 600mg in non allergic penicillin patients in comparison with 2g Amoxicillin 1h before dental implant surgery in relation with early dental implant failure. In penicillin allergic patients there is an increase of early dental implant failure when clindamycin is used in comparison with non allergic when amoxicillin is used. There is only one clinical trial comparing Clindamycin versus placebo. All the previous studies use a postoperative antibiotic regimen with clindamycin that may affect increasing early dental implant failure.
Eligibility
Inclusion Criteria2
- Susceptible healthy patients for dental implants in molars and premolars at least 18 years old.
- Periodontal controlled patients
Exclusion Criteria14
- Inmunocompromised patients
- Diabetes patients
- Areas in which a bone or soft tissue regeneration is needed
- Post extraction dental implants
- Inmediate loading dental implants
- allergy to any drugs used in the trial
- Decompensated systemic pathologies (cardiac, respiratory,
- endocrine, metabolic, hepatic, haematological, the risk of
- bacterial endocarditis, or immunosuppression)oking patients
- Smokers
- history or use of bisphosphonates, anticoagulants, or antiplatelet agents
- Patients with amannesis reports that they have had been irradiated in the cervical and
- maxillofacial territory, were pregnant, suspected of being pregnant or
- breastfeeding, or with a history of antibiotic-associated ulcerous colitis.
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Interventions
Prophylactic use of Clindamycin 600mg or Amoxicillin 2g 1hour prior dental implant surgery. In both cases the mode of administration by oral tablets. In order to monitor the patient adherence, they will return the drug tablet after the administration.
Locations(1)
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ACTRN12624000324516