scholarly journals Preventive Antibiotic Therapy in the Placement of Immediate Implants: A Systematic Review

Antibiotics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 5
Author(s):  
Angel-Orión Salgado-Peralvo ◽  
Juan-Francisco Peña-Cardelles ◽  
Naresh Kewalramani ◽  
María-Victoria Mateos-Moreno ◽  
Álvaro Jiménez-Guerra ◽  
...  

Immediate implants present a high risk of early failure. To avoid this, preventive antibiotics (PAs) are prescribed; however, their inappropriate administration leads to antimicrobial resistance. The present study aims to clarify whether the prescription of PAs reduces the rate of early failure of immediate implants and to establish guidelines to avoid the overprescription of these drugs. An electronic search of the MEDLINE database (via PubMed), Web of Science, Scopus, LILACS and OpenGrey was carried out. The criteria described in the PRISMA® statement were used. The search was temporarily restricted from 2010 to 2021. The risk of bias was analysed using the SIGN Methodological Assessment Checklist for Systematic Reviews and Meta-Analyses and the JBI Prevalence Critical Appraisal Tool. After searching, eight studies were included that met the established criteria. With the limitations of this study, it can be stated that antibiotic prescription in immediate implants reduces the early failure rate. Preoperative administration of 2–3 g amoxicillin one hour before surgery followed by 500 mg/8 h for five to seven days is recommended. It is considered prudent to avoid the use of clindamycin in favour of azithromycin, clarithromycin or metronidazole in penicillin allergy patients until further studies are conducted.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Nyan M. Aung ◽  
Kyaw K. Myint

Introduction. Evidence of second canal in permanent mandibular incisors is frequently questioned in dentistry. The difference in evidence between the two teeth is an interesting argument across different countries and ethnicities. So the aim of the systematic review was to investigate the evidence of second canal between permanent mandibular central and lateral incisors in China. Materials and Methods. The papers were selected from the electronic databases and hand searching according to inclusion and exclusion criteria. All qualified studies were judged by the reviewers. The selected studies were checked with Joanna Briggs Institute Critical Appraisal tool for prevalence studies. Finally, three studies were selected for the review and meta-analyses. The proportion of the second canal with its confidence interval and forest plot for the meta-analyses were calculated. Results. The evidences of second canal in permanent mandibular central and lateral incisors in China were 5.6% and 14.1%. Only one study reported bilateral symmetry of the second canal as 58.7% and 76.1% in the two types of teeth. Out of all canal anatomies, Vertucci’s type ΙΙΙ was dominant comprising 4.1% and 11.2% together with other second-canal types comprising 1.4% and 3% in permanent mandibular central and lateral incisors. When the proportions were meta-analyzed, mandibular central incisors had been less numerous OR = 0.35 [0.31, 0.40], 0.33[0.28, 0.39], and 0.42 [0.22, 0.79] in the evidence of second canal, of Type ΙΙΙ, and of other types except Type ΙΙΙ than mandibular lateral incisors in China. Out of all second-canal anatomies, Type ΙΙΙ presented 72.5% and 78.9% along with other second-canal types comprising 24.3% and 21.1% in the two teeth in China. Discussion. There was the evidence of second canal which deviated toward the permanent mandibular lateral incisor also in case of bilateral symmetry, the prevalence of Vertucci’s Type ΙΙΙ, and other second-canal types out of all canal anatomies.


2022 ◽  
Author(s):  
Anthony V. D'Antoni ◽  
R. Shane Tubbs ◽  
Alexandria C. Patti ◽  
Quinn M. Higgins ◽  
Hallie Tiburzi ◽  
...  

2019 ◽  
Vol 24 (3) ◽  
pp. 386-401 ◽  
Author(s):  
Nicola Irwin ◽  
Deborah Davis ◽  
Marian Currie

Probiotic supplements have been suggested as therapy for a range of health problems in children. This article aims to map the literature around probiotic use in well children, with a focus on prevalence. Using a scoping review methodology, we searched MEDLINE, CINAHL, HealthSource and SAGE, as well as Google and MedNar for grey literature, in July 2018. We followed the PRISMA extension for scoping reviews and used the Crowe Critical Appraisal Tool to assess articles for quality. Seven studies including a total of 24,742 children were identified. The prevalence of probiotic use ranged from 4% to 51%. The most common predictors of use were parental probiotic use, and higher maternal education and income. Only one small study reported the strains of probiotics used. Neither the reasons for using probiotics, nor parental perceptions of efficacy were adequately explored. Most parents obtained their information about probiotics from the Internet or family members. Despite the number of children in the community reported to have used probiotics, there are few well-designed and/or well-reported studies of prevalence, and inadequate data concerning the strains of probiotics used, reasons for their use and their perceived efficacy.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Sara Silva ◽  
L. Miguel Carreira ◽  
Telmo Nunes ◽  
François Saulnier-Troff

Objective: To critically appraise the literature exploring the surgical treatment of degenerative lumbosacral stenosis in dogs. Background: Several surgical procedures to treat degenerative lumbosacral stenosis (DLSS) in the dog have been reported, however, definitive criteria for surgical technique preference are currently lacking (1). Evidentiary value and methods: A critical appraisal tool that examined the conduct and reporting of studies on the results of surgical treatment of DLSS was designed and, after a systematic search and screening of the literature, a critical appraisal was performed in 20 papers. Results: Results showed that 18/20 studies included did not clearly report inclusion and exclusion criteria and in 14/20 it was unclear whether consecutive inclusion of participants was applied. 19/20 studies reported age, breed, and sex of the participants, and 13/20 did not report duration and prevalence of clinical signs. In 13/20 studies, it was considered that the condition was not measured in a standard and reliable way. Objective outcome measures were used in 7/20 studies. Conclusion and application: The results demonstrate that there is room for improvement in the conduct and reporting quality of case series so that rigorous data can be generated and analysed, to inform research design, guide clinical practice, and improve veterinary healthcare delivery.  


BMJ Open ◽  
2016 ◽  
Vol 6 (12) ◽  
pp. e011458 ◽  
Author(s):  
Martin J Downes ◽  
Marnie L Brennan ◽  
Hywel C Williams ◽  
Rachel S Dean

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Ary Astuty

Latar Belakang: Perubahan pola aktivitas dan perubahan lingkungan belajar menjadi pemicu stress pada mahasiswa yang melibatkan reaksi psiko-fisiologis. Salah satu intervensi keperawatan yang sering digunakan di klinik untuk mereduksi dampak stress adalah Progresive Muscle Relaxation/PMR, sehingga perlu dilakukan sistematic review untuk mengetahui apakah latihan PMR lebih efektif daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis. Tujuan: Untuk mengetahui keefektifan latihan PMR daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis. Metode: Systematic review dilaksanakan dengan menelusuri artikel pada database psychology and behavior sciences collection, googlescholar, gen.lib.rus.ec serta sciencedirect.com dengan kata kunci yang dipilih. Penelusuran dibatasi terbitan 2004-2017 yang dapat diakses fulltext dalam format pdf dengan desain RCT dan Case Control yang dilakukan pada mahasiswa. Perlakuan berupa PMR dibandingkan dengan terapi relaksasi lainnya dalam menurunkan tingkat stress, tingkat kecemasan dan kadar cortisol. Artikel yang sesuai kemudian dianalisis menggunakan critical appraisal tool yang sesuai untuk hasil penelitian RCT maupun Case Control untuk menilai kualitas penelitian. Data-data diekstraksi dari artikel lalu dikelompokkan untuk dibahas dan disimpulkan. Hasil: Tiga dari 5 buah artikel memiliki kualitas tinggi dan yang lainnya sedang.  Hasil pembahasan menunjukkan bahwa latihan PMR lebih efektif menurunkan tingkat stress, tingkat kecemasan dan kadar cortisol pada mahasiswa daripada terapi relaksasi lainnya: pernapasan diafragma, latihan autogenik, small talk grup dan yoga stretching (hatha). Latihan PMR yang paling efektif dilaksanakan selama 30 menit dalam 1 hari dan apabila diterapkan 1 hari dalam seminggu selama 4 minggu akan meningkatkan tingkat relaksasi dan meningkatkan pelepasan energi. Pengulangan sampai 5 minggu dapat meningkatkan indeks kebahagiaan dan ketenangan mental.Kesimpulan: latihan PMR lebih efektif daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis..                                                                                                            Keywords : progressive muscle relaxation, stress, kecemasan, cortisol, mahasiswa


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