Evidence map›Paper›PMID 42454622›Full record

ArticleClinical implant dentistry and related research2026

Self-Reported Penicillin Allergy, Alternative Antibiotics, and Implant Outcomes: A Retrospective Study.

Adrienne Fetner, Nathalia Vilela, Xinlin Lu, Guogen Shan, Poliana M Duarte

Abstract read
In one paragraph

Article in Clinical implant dentistry and related research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Adrienne FetnerDepartment of Periodontology, College of Dentistry, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0009-0004-9495-1233
Nathalia VilelaDepartment of Periodontology, College of Dentistry, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0002-0111-2309
Xinlin LuDepartment of Biostatistics, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0003-2956-921X
Guogen ShanDepartment of Biostatistics, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0001-8690-6599
Poliana M DuarteDepartment of Periodontology, College of Dentistry, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0001-8872-5943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effects of self-reported penicillin allergy and alternative antibiotic regimens on implant outcomes remain poorly investigated. Therefore, the aim of this study was to evaluate the association between self-reported penicillin allergy and the use of alternative antibiotics with post-implant placement surgical complications, early implant failure, and preloading crestal bone loss (PLCBL).

methodsThis retrospective cohort study examined dental records of patients who received at least one dental implant. Patients who reported a penicillin allergy were identified as the exposed group, whereas patients without a reported penicillin allergy were selected as unexposed in a 1:2 exposed-to-unexposed ratio. Relevant patient- and implant-related factors were recorded. Implants were evaluated for postsurgical complications, PLCBL, and early failure. Data were analyzed using bivariate analyzes and mixed-effects regression models.

resultsA total of 179 subjects and 374 implants were evaluated. Early implant failure and surgical complications occurred in 6.1% and 8.0% of implants, respectively, while PLCBL was observed in 32.5% of implants. A higher prevalence of surgical complications and implant failure was observed among patients who reported a penicillin allergy compared with those without a reported allergy (p < 0.05). Implants prescribed azithromycin showed a higher prevalence of surgical complications, and those prescribed azithromycin or clindamycin had higher early failure rates compared with penicillin (p < 0.05). Regression analyzes showed that self-reported penicillin allergy was not independently associated with surgical complications, PLCBL, or early implant failure (p > 0.05). In exploratory multivariable analyzes, azithromycin and other alternative antibiotics were associated with higher odds of surgical complications compared with penicillin (p < 0.05). No significant associations were found between antibiotic type and PLCBL or early implant failure (p > 0.05).

conclusionSelf-reported penicillin allergy was not independently associated with early implant outcomes in this cohort. Certain alternative antibiotics were associated with a higher prevalence of early surgical complications, warranting further investigation in larger studies.

Indexed as

Anti-Bacterial AgentsDental ImplantsDrug HypersensitivityPenicillinsAdultAgedDental Restoration FailureFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSelf ReportTreatment OutcomeAnti-Bacterial AgentsDental ImplantsPenicillinsantibioticsdental implantspenicillin

Identifiers

PMID42454622
PMCPMC13370837

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.