Do you mix any antibiotic with your graft material when treating peri-implantitis?
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
8/10/2016
usually I clean the implant surface with a Metronidazole putty. I mix Bio Oss with it for the defect grafting
Choukroun Joseph
8/16/2016
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
8/16/2016
What dosage (per 1 cc of graft material) would you recommend for the metronidazole?
Choukroun Joseph
8/17/2016
50-100 mg in total is largely enough...
Bülent Zeytinoğlu
9/30/2016
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 ı were you ıwould not mix ab with the graft material .Good luck
