The ADA has come out with recommendations. Of interest is the following:

They do not recommend prophylactic antibiotics routinely.

In addition, immediately prior to and following surgical procedures involving bone, the patient should gently rinse with a chlorhexidine containing rinse. Typically, chlorhexidine is used two times per day for two months post surgery. This can be extended based on how the patient is healing.

Prophylactic antibiotics may be utilized during the healing/wound closure phase, for procedures that involve extensive manipulation of the bone (e.g. extractions, periodontal recontouring, sinus lifts etc.) but is not mandatory nor even recommended. Use of prophylactic antibiotics depends on the clinician’s level of concern relative to the individual patient and their specific situation including concomitant risk factors (i.e. prolonged use of oral bisphosphonates, older age, concomitant use of estrogen or glucocorticoids ∗). In some situations, prophylactic antibiotics may be instituted a day or two prior to the procedure.

I think that we should be just fine with our normal LANAP routine, but you might want to increase the chlorhexidine just to be safe.

Go to the ADA website for a complete list of recommendations.

(Edited by czeqm8 at 7:06 pm on June 15, 2006)