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Therapy of percutaneous infection around craniofacial implants.

Author(s): Klein M, Weisz I, Camerer C, Menneking H, Kim DM

Affiliation(s): Department of Oral and Maxillofacial Surgery, Pastic Surgery, Fachklinik Hornheide, Munster, Germany. martin.klein@fachklinik-hornheide.de

Publication date & source: 2009-11, Int J Prosthodont., 22(6):594-6.

Publication type: Randomized Controlled Trial

This study sought to develop treatment strategies for managing percutaneous infection around craniofacial implants. The present general pathogen situation together with a bacterial resistance were determined in 57 infected peri-implant sites. Forty-four implants were randomly assigned for wound cleaning and split into three groups-two with local antibiotics of proven efficacy and one with 3% hydrogen peroxide (H2O2). The pathogen spectrum differed depending on the severity of the infection, with Staphylococcus aureus clearly correlated with the degree of inflammation (positive correlation: R = 0.72). It was observed that the use of additional local antibiotics was not superior to conventional wound cleaning with 3% H2O2. It is suggested that sulcus fluid flow rate measurements could serve as a simple and reliable objective parameter for recall examinations.

Page last updated: 2010-10-05

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