Research suggests that the use of adjunctive systemic antibiotics provides no additional benefit to the non-surgical treatment of peri-implantitis.
A randomised clinical trial, now summarised in JCP Digest 91, evaluated the effect of adjunctive systemic amoxicillin plus metronidazole on full-mouth non-surgical peri-implantitis treatment.
The research found that there was no statistically significant difference between test and control groups in terms of clinical or microbiological outcomes, although there was a tendency for some benefit from systemic antimicrobials when deep peri-implant pockets had initially been present.
Researchers concluded that the routine prescription of antibiotic therapy for the treatment of peri-implantitis should not be recommended.
The research was summarised for JCP Digest by students of the EFP-accredited postgraduate programme in periodontology, International University of Catalonia (UIC), Barcelona, Spain.