IADR Abstract Archives
COMPARISON OF THE BACTERIAL FLORA IN ORAL MUCOSA AND ANTIBIOGRAM IN PRE-PROFILAXIS PATIENTS vs ONE WEEK AFTER DENTAL IMPLANT SURGERY
Objectives: To compare the bacterial flora from oral mucosa and antibiogram in pre-prophylaxis patients as well as one week after dental implant procedure by smear and antibiogram.
Methods: With IRB approval and signed informed consent, 18 out of 40 patients who had received prophylaxis were randomly selected according to oral mucosa smear and antibiogram before dental implant surgery. Clinical control for 20 days post-surgery, oral hygiene instructions, assessment for signs of infection, new smear and antibiogram eight days post-surgery to prescribe antimicrobials.
Results: (88.9%) of patients were women with an average age of 53.7±10.6 years, men 55.5± 9.2 years. 5.56 % of the patients had pain, redness, and edema in during the first two days. Antimicrobials most prescribed according to degree of bacterial sensitivity, in prophylaxis amoxicillin 38.46%, ciprofloxacin 30.76%. One week post-prophylaxis only eight patients presented bacterial growth with greater sensitivity and were prescribed Ciprofloxacin (25%), Ampicillin/Sulbactam (25%), Erythromycin, Amoxicillin, Norfloxacin, Fluconazole (12.50%/each). The magnitude of bacterial growth before and 8 days post-prophylaxis decreased significantly (p=0.000-24 McNemar test); Staphylococcus salivarius from 140,000 to 5,000 colonies, Staphylococcus epidermis from 85,000 to 75,000, Streptococcus mitis from 60,000 to 45,000, Fusobacteria, Peptococcus y Enterococcus from 50,000 to no identification. E. Coli from 10,000 and bacilli from 5,000 to no identification in the post-surgery control.
Conclusions: Prophylaxis based on the identification of bacteria and effective antimicrobial distribution before and eight days after surgery ensures control of bacterial growth and disappearance of the risk of infection in patients receiving dental implant surgery.
Methods: With IRB approval and signed informed consent, 18 out of 40 patients who had received prophylaxis were randomly selected according to oral mucosa smear and antibiogram before dental implant surgery. Clinical control for 20 days post-surgery, oral hygiene instructions, assessment for signs of infection, new smear and antibiogram eight days post-surgery to prescribe antimicrobials.
Results: (88.9%) of patients were women with an average age of 53.7±10.6 years, men 55.5± 9.2 years. 5.56 % of the patients had pain, redness, and edema in during the first two days. Antimicrobials most prescribed according to degree of bacterial sensitivity, in prophylaxis amoxicillin 38.46%, ciprofloxacin 30.76%. One week post-prophylaxis only eight patients presented bacterial growth with greater sensitivity and were prescribed Ciprofloxacin (25%), Ampicillin/Sulbactam (25%), Erythromycin, Amoxicillin, Norfloxacin, Fluconazole (12.50%/each). The magnitude of bacterial growth before and 8 days post-prophylaxis decreased significantly (p=0.000-24 McNemar test); Staphylococcus salivarius from 140,000 to 5,000 colonies, Staphylococcus epidermis from 85,000 to 75,000, Streptococcus mitis from 60,000 to 45,000, Fusobacteria, Peptococcus y Enterococcus from 50,000 to no identification. E. Coli from 10,000 and bacilli from 5,000 to no identification in the post-surgery control.
Conclusions: Prophylaxis based on the identification of bacteria and effective antimicrobial distribution before and eight days after surgery ensures control of bacterial growth and disappearance of the risk of infection in patients receiving dental implant surgery.
IMAGES
2322252_File000000.jpg
2322252_File000000.jpg