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. 2013 Jul 31;2013(7):CD004152. doi: 10.1002/14651858.CD004152.pub4

Caiazzo 2011.

Methods Multicentre parallel RCT with 4 arms, of 3 months' duration. No drop‐outs
Participants Adult treated in 2 private Italian dental practices. Participants were excluded if they had: a history of systemic diseases contraindicating surgical treatment, long‐term nonsteroidal anti‐inflammatory drug therapy, medically necessary antibiotic therapy, a history of antibiotic therapy 6 months prior to the study, a history of allergic reactions to penicillins or related drugs, or were pregnant. 25 participants included in each group and results given for 100
Interventions 4 interventions compared: 2 g of amoxicillin given 1 h preoperatively; 2 g amoxicillin given 1 h preoperatively + 1 g twice a day for 7 days; 1 g of amoxicillin given immediately after implantation twice a day for 7 days; and no antibiotic. All participants had at least 1 session of oral hygiene instruction and professionally‐delivered debridement 1 week prior to implant placement. All participants rinsed with chlorhexidine digluconate 0.2% for 1 minute just prior to surgery and postoperatively twice a day for 15 days. Clinicians placed implants according to their routine procedures. Postoperative complications were assessed at 1, 2, 4 and 8 weeks, and implant success at 3 months. Used Biomet 3i Osseotite implants with external connection
Outcomes Implant failures, postoperative complications, adverse events. Postoperative complications assessed 1, 2, 4 and 8 weeks after placement, and implant stability at 3 months
Notes No external funding was received
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quoted from the article: "The patients were randomly allocated ‐ using a computer‐generated randomisation list ‐ to 4 different groups: . . . "
The authors also informed us that they used the Random Allocation Software to prepare the randomisation schedule
Allocation concealment (selection bias) High risk No information provided in the article
The authors kindly informed us that no allocation concealment procedures were implemented
Blinding (performance bias and detection bias) 
 All outcomes High risk No information provided in the article
The authors kindly informed us that the operators recorded the outcome measures, so they were not blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data or excluded patients
Selective reporting (reporting bias) Low risk All outcome measures reported
Other bias Low risk No other bias identified