口腔感染與植牙手術的抗生素使用：回顧與新知

Update and Review of Antibiotic Use for Oral Infection and Implant Surgery

張中杰(Chung-Chieh Chang) ； 黃玉成(Yhu-Chering Huang) ； 龔素芳(Sue-Fang Kung)

《臺灣牙周病醫學會雜誌》 19卷4期 (2014/12) Pp. 296-302

https://doi.org/10.6121/TAP.2014.19.4.03

摘要

臨床上牙科醫師常常會面對一些有口腔感染的病患，瞭解細菌學的概念對於我們處理口內外的齒源性感染及抗生素的使用，有很大的幫助。雖然目前有很多研究指出，口內的感染會影響全身的疾病，但目前證據尚停留在相關聯，沒有直接的因果關係被證實。而在一些有感染性心內膜炎風險的病患在牙科治療前是否需投予抗生素，及植牙手術上，是否需投予術前或術後的抗生素，本文利用實證醫學的方式，整理目前有的科學證據，以期幫助臨床醫師在從事牙科治療及植牙手術上，有個參考的依據。

關鍵字

口腔感染 ； 預防性抗生素 ； 植牙手術

並列摘要

Dentists clinically often face patients with an oral infection. Understanding the microbiota of the oral cavity is helpful to us when managing intra-oral/extra-oral infections and helps with the effective use of antibiotics. Although research has clearly indicated that intra-oral infection may involve certain systemic diseases, the link is still at the stage of association, and no direct evidence of cause and effect has been proved. This article uses evidence-based medicine to identify whether antibiotic prophylaxis is beneficial to individuals at risk of infectious endocarditis and whether the use of antibiotic before or after implant surgery is able to reduce the failure rate of implant surgery. Our aim is to set guidelines for dentists to follow in daily clinical practice and during implant surgery.

並列關鍵字

oral infection ； antibiotic prophylaxis ； implant surgery