Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis

Summary: Purpose: This review aimed to evaluate the effects of the local delivery of antibiotics incorporated in implant surfaces on some quantitative parameters of bone formation. Materials and methods: An electronic search was undertaken in three databases (PubMed, Scopus, Embase) in addition to...

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Main Authors: Ali Alenezi, Bruno Chrcanovic
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1882761620300156
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author Ali Alenezi
Bruno Chrcanovic
author_facet Ali Alenezi
Bruno Chrcanovic
author_sort Ali Alenezi
collection DOAJ
description Summary: Purpose: This review aimed to evaluate the effects of the local delivery of antibiotics incorporated in implant surfaces on some quantitative parameters of bone formation. Materials and methods: An electronic search was undertaken in three databases (PubMed, Scopus, Embase) in addition to hand searching. The search was limited to animal experiments using endosseous implants combined with localized antibiotics release. Meta-analyses were performed for the percentages of bone volume (BV) and bone-to-implant contact (BIC). Results: Nine studies met the inclusion criteria. Several methods were identified for local delivery of antibiotics at the bone-implant interface, but the most commonly used method was by coating (incorporating the implant surface with the antibiotic agents). Different antibiotic agents were used, namely bacitracin, doxycycline, enoxacin, gentamicin, minocycline, tobramycin, and vancomycin. There was no statistically significant difference in the percentage of BIC between implants with or without localized antibiotic release (P = 0.59). The meta-analysis revealed higher BV around implants coated with antibiotics compared to control groups (without antibiotics) (P < 0.01). Conclusion: It is suggested that the local administration of antibiotics around implants did not adversely affect the percentage of direct bone contact around implants, with a tendency for a slightly better bone formation around implants when combined with local administration of antibiotics. It is a matter of debate whether these in vivo results will have the same effect in the clinical setting. However, the risk of bias of these studies may, to some extent, question the validity of these results.
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spelling doaj.art-b37674b46bf8453d80d762eb2ff272902022-12-21T23:34:32ZengElsevierJapanese Dental Science Review1882-76162020-11-01561177183Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysisAli Alenezi0Bruno Chrcanovic1Department of Prosthodontics, College of Dentistry, Qassim University, Saudi Arabia; Corresponding author at: Department of Prosthodontics, College of Dentistry, Qassim University, P.O. Box 6700, Burydah, 51452, Saudi Arabia.Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, SwedenSummary: Purpose: This review aimed to evaluate the effects of the local delivery of antibiotics incorporated in implant surfaces on some quantitative parameters of bone formation. Materials and methods: An electronic search was undertaken in three databases (PubMed, Scopus, Embase) in addition to hand searching. The search was limited to animal experiments using endosseous implants combined with localized antibiotics release. Meta-analyses were performed for the percentages of bone volume (BV) and bone-to-implant contact (BIC). Results: Nine studies met the inclusion criteria. Several methods were identified for local delivery of antibiotics at the bone-implant interface, but the most commonly used method was by coating (incorporating the implant surface with the antibiotic agents). Different antibiotic agents were used, namely bacitracin, doxycycline, enoxacin, gentamicin, minocycline, tobramycin, and vancomycin. There was no statistically significant difference in the percentage of BIC between implants with or without localized antibiotic release (P = 0.59). The meta-analysis revealed higher BV around implants coated with antibiotics compared to control groups (without antibiotics) (P < 0.01). Conclusion: It is suggested that the local administration of antibiotics around implants did not adversely affect the percentage of direct bone contact around implants, with a tendency for a slightly better bone formation around implants when combined with local administration of antibiotics. It is a matter of debate whether these in vivo results will have the same effect in the clinical setting. However, the risk of bias of these studies may, to some extent, question the validity of these results.http://www.sciencedirect.com/science/article/pii/S1882761620300156Dental implantsBone formationAnimal modelsDrug deliveryAntibioticsSystematic review
spellingShingle Ali Alenezi
Bruno Chrcanovic
Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
Japanese Dental Science Review
Dental implants
Bone formation
Animal models
Drug delivery
Antibiotics
Systematic review
title Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
title_full Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
title_fullStr Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
title_full_unstemmed Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
title_short Effects of the local administration of antibiotics on bone formation on implant surface in animal models: A systematic review and meta-analysis
title_sort effects of the local administration of antibiotics on bone formation on implant surface in animal models a systematic review and meta analysis
topic Dental implants
Bone formation
Animal models
Drug delivery
Antibiotics
Systematic review
url http://www.sciencedirect.com/science/article/pii/S1882761620300156
work_keys_str_mv AT alialenezi effectsofthelocaladministrationofantibioticsonboneformationonimplantsurfaceinanimalmodelsasystematicreviewandmetaanalysis
AT brunochrcanovic effectsofthelocaladministrationofantibioticsonboneformationonimplantsurfaceinanimalmodelsasystematicreviewandmetaanalysis