Do you mix any antibiotic with your graft material when treating peri-implantitis?

Last Updated: Aug 09, 2016

For guided bone regeneration to treat bone loss in peri-implantitis, is it advisable to mix an antibiotic with the graft material? If so, which antibiotic do you recommend and the amount? What is the rationale for your protocol? Would you also prescribe a systemic antibiotic?

5 Comments on Do you mix any antibiotic with your graft material when treating peri-implantitis?

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Pascal Valentini

08/10/2016

usually I clean the implant surface with a Metronidazole putty. I mix Bio Oss with it for the defect grafting

Choukroun Joseph

08/16/2016

I agree with Pascal Valentini. The site and implant surface are mostly contaminated by anaerobe bacteria. Then, the best procedure is to mix the bone substitute with pure metronidazole powder after a cleaning procedure with it.

Dave

08/16/2016

What dosage (per 1 cc of graft material) would you recommend for the metronidazole?

Choukroun Joseph

08/17/2016

50-100 mg in total is largely enough...

BÃ¼lent ZeytinoÄŸlu

09/30/2016

Dear Dr. Antibiotics are preferably used systematically besides local use of ab may cause allergic reactions and very few ab are locally active so if Ä± were you Ä±would not mix ab with the graft material .Good luck

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