Microbial analysis of bone collected during implant surgery: a clinical and laboratory study

: Dental implant surgery produces bone debris which can be used to correct bone defects in the “simultaneous‐augmentation” technique. However, this debris is potentially contaminated with oral bacteria. Therefore, this study examined bone debris collected during dental implant surgery in order 1) to identify the microbial contaminants and 2) to compare the effects of two different aspiration protocols on the levels of microbial contamination. Twenty‐four partially dentate patients were randomly allocated into two equal groups and underwent bone collection using the Frios® Bone Collector during surgery to insert two endosseous dental implants. In group S (using a stringent aspiration protocol), bone collection occurred within the surgical site only. In group NS (utilizing a non‐stringent aspiration protocol), bone collection and tissue fluid control was achieved using the same suction tip. Bone samples were immediately transported for microbial analysis. Colonial and microscopic morphology, gaseous requirements and identification kits were utilized for identification of the isolated microbes. Twenty‐eight species were identified including a number associated with disease, in particular, Enterococcus faecalis and Staphylococcus epidermidis as well as the anaerobes Actinomyces odontolyticus, Eubacterium sp., Prevotella intermedia, Propionibacterium propionicum and Peptostreptococcus asaccharolyticus. In group S (stringent aspiration protocol), significantly fewer organisms were found than in group NS, the non‐stringent aspiration protocol (P=0.001). Gram‐positive cocci dominated the isolates from both groups. It is concluded that if bone debris is collected for implantation around dental implants, it should be collected with a stringent aspiration protocol (within the surgical site only) to minimize bacterial contaminants. Résumé Lors de la chirurgie des implants dentaires des débris osseux sont produits; ils peuvent ensuite être utilisés pour corriger des lésions osseuses dans la technique d’augmentation osseuse simultanée. Cependant, ces débris sont potentiellement contaminés par des bactéries buccales. Cette étude a donc examiné les débris osseux collectés durant la chirurgie implantaire afin 1) d’identifier les contaminants microbiens et 2) de comparer les effets de deux types d’aspiration sur les niveaux de contamination microbienne. Vingt‐quatre patients partiellement dentés ont été répartis en deux groupes égaux et ont subi une collecte osseuse en util