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Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
Department of Prosthodontics, College of Dentistry, Qassim University, Saudi Arabia.ORCID iD: 0000-0001-6929-974X
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0002-3460-3374
2020 (English)In: Japanese Dental Science Review, ISSN 1882-7616, Vol. 56, no 1, p. 177-183Article, review/survey (Refereed) Published
Abstract [en]

Purpose: This review aimed to evaluate the effects of the local delivery of antibiotics incorporated in implant surfaces on some quantitative parameters of bone formation. Materials and methods: An electronic search was undertaken in three databases (PubMed, Scopus, Embase) in addition to hand searching. The search was limited to animal experiments using endosseous implants combined with localized antibiotics release. Meta-analyses were performed for the percentages of bone volume (BV) and bone-to-implant contact (BIC). Results: Nine studies met the inclusion criteria. Several methods were identified for local delivery of antibiotics at the bone-implant interface, but the most commonly used method was by coating (incorporating the implant surface with the antibiotic agents). Different antibiotic agents were used, namely bacitracin, doxycycline, enoxacin, gentamicin, minocycline, tobramycin, and vancomycin. There was no statistically significant difference in the percentage of BIC between implants with or without localized antibiotic release (P = 0.59). The meta-analysis revealed higher BV around implants coated with antibiotics compared to control groups (without antibiotics) (P < 0.01). Conclusion: It is suggested that the local administration of antibiotics around implants did not adversely affect the percentage of direct bone contact around implants, with a tendency for a slightly better bone formation around implants when combined with local administration of antibiotics. It is a matter of debate whether these in vivo results will have the same effect in the clinical setting. However, the risk of bias of these studies may, to some extent, question the validity of these results. (C) 2020 The Author. Published by Elsevier Ltd on behalf of The Japanese Association for Dental Science.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 56, no 1, p. 177-183
Keywords [en]
Dental implants, Bone formation, Animal models, Drug delivery, Antibiotics, Systematic review
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-39063DOI: 10.1016/j.jdsr.2020.09.003ISI: 000598681800022PubMedID: 33294060Scopus ID: 2-s2.0-85097413456OAI: oai:DiVA.org:mau-39063DiVA, id: diva2:1516449
Available from: 2021-01-12 Created: 2021-01-12 Last updated: 2023-10-24Bibliographically approved

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Chrcanovic, Bruno Ramos

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