METHODS OF PREVENTING THE OCCURENCE OF INFLAMMATORY COMPLICATIONS DURING THE SURGICAL STAGE OF DENTAL IMPLANTATION (LITERATURE REVIEW)
DOI:
https://doi.org/10.32782/2786-7684/2026-3-8Keywords:
dental implantation, bone tissue, complications, preventionAbstract
A modern method of replacing dentition defects is dental implantation, which has undoubtedly proven its high efficiency and wide popularity among the population of different countries. An important aspect of the surgical stage of dental implantation is the prevention of inflammatory complications, which can lead to negative consequences of dental implantation, including implant disintegration. Methodology and methods of the study: a literature search was conducted in the scientometric databases PubMed, Scopus, and Google Scholar, with a depth of 15 years, on complications of dental implantation and methods of their prevention, including antibiotic prophylaxis. Presentation of the main material. The problem of choosing an antibacterial drug for patients with a confirmed penicillin allergy warrants separate scientific attention. Systemic oral administration of antimicrobial agents does not ensure the achievement of their minimum inhibitory concentrations directly in the ischemic “space of demarcation”. Systemic antibiotics mainly cause the dangerous selection of multidrug-resistant strains, in parallel with poor permeability through the extracellular polysaccharide matrix of a mature biofilm. Methods of local delivery of drugs within the bone-implant interface are globally divided into two main categories: modification of the surface of the dental implant (encapsulation or immobilization of the drug on the titanium surface at the factory production stage); intraoperative use of carriers that biodegrade and integrate into the bone cavity directly during surgery. Conclusion. Thus, the spectrum of preventive measures, including antibiotic prophylaxis, is quite wide and remains a constant focus of attention for both scientists and clinicians. The need to constantly update data on methods for preventing inflammatory complications is extremely important and dynamic, especially given the rapid development of antibiotic resistance
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