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The International Journal of Prosthodontics

Edited by George A. Zarb, BChD, DDS, MS, MS, FRCD(C)

ISSN 0893-2174

November/December 2009
Volume 22 , Issue 6

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Short Communication: Therapy of Percutaneous Infection Around Craniofacial Implants

Martin Klein, MD, DMD, PhD/Ilana Weisz, DMD/Christian Camerer, MD, DMD/Horst Menneking, MD, DMD/Doris Maria Kim, MD, DMD

Pages: 594–596
PMID: 19918595

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. Int J Prosthodont 2009;22:594–596.

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