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Rational Prophylactic Antibiotic Selection for Sinus Elevation Surgery
Author(s) -
Akers Joshua A.,
Johnson Thomas M.,
Hill Richard B.,
Kawaguchi Sachiyo
Publication year - 2020
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10080
Subject(s) - medicine , sinusitis , dentistry , perioperative , sinus (botany) , maxillary sinus , ostium , dentition , surgery , botany , biology , genus
Focused Clinical Question For a generally healthy patient with no risk indicators for postoperative infection, what is the most appropriate perioperative antibiotic regimen for sinus elevation surgery in terms of reducing postoperative infection risk and minimizing untoward effects? Clinical Scenario A 38‐year‐old female patient in good general and periodontal health presents missing tooth #14 (Fig. ). She reports no systemic conditions, no history of sinusitis, and no allergies. Medications include acetaminophen and ibuprofen as needed for pain. The patient's dentition is minimally restored, with no active caries. Cone‐beam computed tomography reveals a clear, pneumatized left maxillary sinus and inadequate bone volume to support dental implant placement (Fig. ). No septa or pathologic lesions are present, the ostium appears patent, and no thickening of the Schneiderian membrane is appreciable. The patient states that she wants to replace her missing molar without restoring adjacent teeth (Figs. and ).Baseline clinical appearance (example sinus elevation case). The patient is a healthy 38‐year‐old female missing tooth #14. Inadequate bone volume is present for dental implant placement due to pneumatization of the left maxillary sinus.Preoperative cone‐beam computed tomography images. 2a Sagittal view. 2b Coronal view.Cone‐beam computed tomography images at postoperative month 6. 3a Sagittal view. 3b Coronal view.Definitive implant‐supported restoration, tooth #14.