Antibiotic Prescribing in Primary Dental Care

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Antibiotics Use and Antimicrobial Stewardship".

Deadline for manuscript submissions: 15 May 2024 | Viewed by 1064

Special Issue Editor


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Guest Editor
Department of Pharmacology, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Interests: oral health and dentistry; pharmacology; saliva; rational drug prescribing; caries prevention; orthodontics; Streptococcus mutans

Special Issue Information

Dear Colleagues,

The prescribing of antibiotics in primary dental care is a daily procedure that is well regulated by evidence-based guidelines. However, the continuous development of bacterial resistance worldwide necessitates greater efforts to improve the patterns of antibiotic prescribing by clinicians, including dentists. Primary dental care covers common oral cavity infections, as well as odontogenic and periodontal infections, requiring systemic antimicrobial therapy in addition to mechanical dental treatment.

Finding the ideal balance between indications for systemic antibiotic therapy in odontogenic infection (such as acute apical abscess with systemic involvement, the onset of a severe or spreading infection, osteomyelitis, the replantation of avulsed permanent teeth, or medically compromised patients) and the rationalization of antibiotic prescribing, using the most appropriate drug at the lowest dose necessary to obtain the best effect in the shortest period of time and at a reasonable cost, is of major interest for public health.

This Special Issue aims to provide an up-to-date insight into clinical questions concerning the prescribing of antibiotics in primary dental care, and to address antibiotic stewardship in dentistry. Particular consideration will be to given to original research, reviews, and short communications discussing more precise indications for the prescribing of antibiotics in dentistry, including laboratory and clinical diagnosis, therapeutic perspectives, rational prescribing, and the public health approach.

Dr. Kristina Peros
Guest Editor

Manuscript Submission Information

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Keywords

  • primary dental care
  • antibiotic prescribing
  • rational drug prescribing
  • antibiotic stewardship

Published Papers (1 paper)

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Research

9 pages, 211 KiB  
Article
Antibiotic-Prescribing Habits in Dentistry: A Questionnaire-Based Study
by Luca Sbricoli, Giulio Grisolia, Edoardo Stellini, Christian Bacci, Marco Annunziata and Eriberto Bressan
Antibiotics 2024, 13(2), 189; https://doi.org/10.3390/antibiotics13020189 - 16 Feb 2024
Viewed by 926
Abstract
The problem of antibiotic resistance is becoming increasingly serious worldwide due to uncontrolled prescription. Dentists are among the groups that prescribe the most antibiotics, often to delay urgent treatment. The purpose of the present study is to investigate the prescribing protocols adopted by [...] Read more.
The problem of antibiotic resistance is becoming increasingly serious worldwide due to uncontrolled prescription. Dentists are among the groups that prescribe the most antibiotics, often to delay urgent treatment. The purpose of the present study is to investigate the prescribing protocols adopted by dentists for prophylaxis and antibiotic therapy in major clinical surgical indications. Methods: A ten-question survey was administered to a group of Italian dentists. The participants were asked about their preferences for antibiotic administration for the prevention of infective endocarditis, the administration of antibiotics to patients allergic to penicillin, the insertion of implants, and the extraction of third molars. The retrieved data were screened and analyzed. Results: A total of 298 surveys were filled out. The most-prescribed antibiotic was amoxicillin or amoxicillin with clavulanic acid or macrolides for allergic patients. The administration of two grams of amoxicillin one hour before surgery was the most widely used prescriptive protocol for prophylaxis. International guidelines on antibiotic prophylaxis for infective endocarditis were only partially followed. The most heterogeneous results emerged for prophylaxis associated with dental implants or provided prior to surgical third-molar extraction. Conclusions: The present study shows widespread antibiotic prescriptive heterogeneity among the sample of dentists analyzed, especially in conditions where international guidelines are lacking. An evidence-based consensus on prescriptive modalities in dentistry would be desirable in the near future. Full article
(This article belongs to the Special Issue Antibiotic Prescribing in Primary Dental Care)
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