Evidence-based systemic antibiotic prescription in periodontal and dental implant procedures : a mini-review

Abstract

Purpose: To evaluate and summarize the available scientific evidence regarding antibiotic prescription protocols in periodontal and dental implant procedures. Methods: A bibliographic search was conducted in PubMed, ScienceDirect, Scielo, Cochrane Library, EBSCOhost and Google Scholar up to February 2023. Manual and electronic searches were conducted, including publications in English. Medical Subject Headings (MeSH), free text terms and Boolean operators were used. Results: Antibiotic prescription protocols have been restricted due to antimicrobial resistance. While for certain clinical circumstances there are guidelines with clear and unanimous criteria for appropriate antibiotic use, for other conditions evidence showed an insufficiency of available literature and the persistence of crucial issues where no consensus has been reached. Clinical significance: This mini-review summarizes the most up-to-date recommendations regarding the prescription of antibiotics in periodontal and dental implant procedures in order to guide evidence-based decision-making.