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Antibiotic Resistance in Patients with Peri-Implantitis: A Systematic Scoping Review

Author

Listed:
  • Carlos M. Ardila

    (Basic Studies Department, School of Dentistry, Universidad de Antioquia UdeA, Medellín 050010, Colombia)

  • Annie Marcela Vivares-Builes

    (School of Dentistry, Institución Universitaria Visión de Las Américas, Medellín 050031, Colombia)

Abstract

The implementation of adjunctive antibiotics has been recommended for the therapy of peri-implantitis (PI). In this review, antibiotic resistance patterns in PI patients were assessed. A systematic scoping review of observational studies and trials was established in conjunction with the PRISMA extension for scoping reviews. The SCOPUS, PubMed/MEDLINE, EMBASE, SCIELO, Web of Science, and LILACS databases were reviewed along with the gray literature. The primary electronic examination produced 139 investigations. Finally, four observational studies met the selection criteria. These studies evaluated 214 implants in 168 patients. Porphyromonas gingivalis and Fusobacterium nucleatum mainly presented high resistance to tetracycline, metronidazole, and erythromycin in PI patients. Similarly, Aggregatibacter actinomycetemcomitans was also highly resistant to clindamycin and doxycycline. Other microorganisms such as Tannerella forsythia , Parvimonas micra , and Prevotella intermedia/nigrescens also presented significant levels of resistance to other antibiotics including amoxicillin, azithromycin, and moxifloxacin. However, most microorganisms did not show resistance to the combination amoxicillin metronidazole. Although the management of adjunctive antimicrobials in the therapy of PI is controversial, in this review, the resistance of relevant microorganisms to antibiotics used to treat PI, and usually prescribed in dentistry, was observed. Clinicians should consider the antibiotic resistance demonstrated in the treatment of PI patients and its public health consequences.

Suggested Citation

  • Carlos M. Ardila & Annie Marcela Vivares-Builes, 2022. "Antibiotic Resistance in Patients with Peri-Implantitis: A Systematic Scoping Review," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15609-:d:982833
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    References listed on IDEAS

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    1. Manuel Toledano-Osorio & Cristina Vallecillo & Raquel Toledano & Fátima S. Aguilera & María T. Osorio & Esther Muñoz-Soto & Franklin García-Godoy & Marta Vallecillo-Rivas, 2022. "A Systematic Review and Meta-Analysis of Systemic Antibiotic Therapy in the Treatment of Peri-Implantitis," IJERPH, MDPI, vol. 19(11), pages 1-25, May.
    2. Victoria R. Carr & Elizabeth A. Witherden & Sunjae Lee & Saeed Shoaie & Peter Mullany & Gordon B. Proctor & David Gomez-Cabrero & David L. Moyes, 2020. "Abundance and diversity of resistomes differ between healthy human oral cavities and gut," Nature Communications, Nature, vol. 11(1), pages 1-10, December.
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