Antibiotic Gel used during friends dental implant

Sneakee

Hi there,
my girlfriend of mine had Dental work in Bulgaria, all went fine no horrible reports. Just curious about what she said that the Dentist put an antibiotic solution/gel onto the area where the implant was done to prevent infection.
There was no problem or infection afterwards, must find what the name of the solution used but just wondering do Irish/English Dentists do this or do they only prescribe antibiotics afterwards or if complications arise afterwards? She was told he had little to no infection complications post work which sounds pretty good. Is this a common procedure for Irish dentists in this area of work?

Mingetoad

An antibiotic gel called dentomycin is very popular in parts of europe. It is used here quite a bit too.

DaveTwenty7

Mingetoad do you have any articles on its effectiveness

btkm8unsl0w5r4

Mingetoad welcome to the forum, have a read of the charter and if you are a dentist drop me a PM...thanks

Fitzgeme, dental issues moderator.

I use a topical antibiotic at abutment connection for implants, make me feel better does nothing in particular, corsydol gel would do the same.

Mingetoad

There are a few, nothing very definitive. t is a good adjunct to root debridement seems to be th general feeling.

Mechanical and repeated antimicrobial therapy using a local drug delivery system in the treatment of peri-implantitis: a randomized clinical trial.
J Periodontol. 2008 May;79(5):836-44
Authors: Renvert S, Lessem J, Dahlén G, Renvert H, Lindahl C
BACKGROUND: Peri-implantitis is an inflammatory process caused by microorganisms affecting the tissues around an osseointegrated implant in function, resulting in a loss of supporting bone. Limited data exist regarding the treatment of peri-implantitis. The aim of this study was to assess the clinical and microbiologic outcome of repeated local administration of minocycline microspheres, 1 mg, in cases of peri-implantitis. METHODS: Thirty-two subjects with at least one implant with a probing depth > or =4 mm combined with bleeding and/or exudate on probing and the presence of putative pathogenic bacteria were included in the study. At baseline, subjects were randomly assigned to receive local minocycline microspheres (17 subjects and 57 implants) or chlorhexidine gel (15 subjects and 38 implants) following debridement. Treatments were performed on three occasions: baseline and days 30 and 90. Follow-up examinations were conducted at 10 days and at 1, 3, 6, 9, and 12 months. RESULTS: The use of minocycline resulted in significant improvements in probing depths compared to chlorhexidine at days 30, 90, and 180 (P = 0.5, P = 0.01, and P = 0.04, respectively). For the deepest sites of the minocycline-treated implants, the mean probing depth reduction was 0.6 mm at 12 months. Regarding bleeding on probing, significant differences between groups, based on all four sites at the implants, were found at days 30, 90, 180, 270, and 360. Both treatments resulted in a marked reduction in the indicator bacteria. CONCLUSIONS: The use of a repeated local antibiotic as an adjunct to the mechanical treatment of peri-implantitis lesions demonstrated improvements in probing depths that were significantly different from controls and were sustained for 6 months. The adjunctive use of minocycline microspheres is beneficial in the treatment of peri-implant lesions, but the treatment may have to be repeated.
PMID: 18454662 [PubMed - indexed for MEDLINE]

Sneakee

I suppose that kind of antibiotic for the clinic would be from the pharmacy or a medical sales rep or something, would the Dentist have to have some pharmacuetical dispensation licence or something for using the gel in that case? Thought since it's an antibiotic and that there's some legislation that it could be only got from pharmacy?

davo10

You have to have a medical/dental degree to buy/use it. The last time I bought dentomysin, i think it was nearly €200 for 8 small syringes so we don't splash it around everywhere.

btkm8unsl0w5r4

I use aureomycin its about 5 euro a tube. I put a little on the abutment, cover screw, healing cap threads when tightening down, particularly good (IMHO) for external connection implants that tend to have a bit of microleakage.

For perio I dont know, that out of my area.