Bone Graft on Infected Tooth: Should Antibiotics Be Used?
Denis asks:
I am scheduled to have left lower crown/molar removed for implant placement. The tooth had a root canal 2006 and was retreated in 2008 for infection. The plan is to do the extraction and then get a dental implant in 4-6 months. The DDS, however, plans to place the bone graft at same time of extraction. Should he use antibiotic in the graft material? Because of the possibility of infection after extraction, should he defer the bone graft for a while and not do it at the time of extraction?
Thanks
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Bone Graft on Infected Tooth: Should Antibiotics Be Used?
Denis,
In my practice, I wait 2-3 weeks after extraction to do a bone graft on an infected tooth. This allows time for the infection to heal. I would place my patients on an antibiotic for 7 days after the extraction and then put them back on it for the bone graft. Putting an antibiotic in the graft material is not a standard procedure.
Waiting 2-3 weeks also allows for better tissue closure.
Michael Tischler, DDS
Dr. Michael Tischler
http://www.tischlerdental.com/
Antibiotics & Bone Grafting
Hi Denis
I pre-medicate patients with failing, endodontically treated teeth to treat the infection, making it easier to attain surgical anesthesia. Either Clindamycin or Amoxicillin is prescribed one week pre and post operatively.
A one month hiatus allows soft tissue closure of the extraction site and resolution of infection/inflammation. I pre-medicate the patient the day prior to grafting for a ten days interval.
I hope this helps.
Theodore M Grossman DMD
305-466-1804
www.Fortlauderdaleoralsurgery.com
Dr. Theodore M. Grossman
I do graft at the same time
I do graft at the same time the tooth is extracted, but use a laser to kill the bacteria in the area and it also promotes faster bone healing. I have used a blood product that is caled Plasma rich growth factors (PRGF) that has high amount of white blood cells that will fight the infection, this is sandwiched in between cadaver bone and another layer of PRGF and membrane.
Note as Dr Tischler said, all doctors like to do things a little differently. That does not mean one way is right or wrong. It depends on your comfort zone and that of your doctor.
Good luck
Dr Kusek DABOI,FAAID,FALD,MAGD
Dr. Edward Kusek
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