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Volume 22 , Issue 6
November/December 2009

Pages 594–596


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


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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