Antibiotic Prescribing Habits of Oral and Maxillofacial Surgeons in Conjunction With Routine Dental Implant Placement

Deeb, George R.; Soung, George Y.; Best, Al M.; Laskin, Daniel M.

doi:10.1016/j.joms.2015.05.024

Cited by 41 publications

(49 citation statements)

References 10 publications

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“…The use of systemic oral antibiotics as prophylaxis against post-surgical infection in implant dentistry has been documented (Esposito, Grusovin, & Worthington, 2013). However, recommendations with regard to antibiotic prophylaxis in guided bone regeneration procedures are often based on personal and anecdotal experience (Deeb, Soung, Best, & Laskin, 2015;Suda, Henschel, Patel, Fitzpatrick, & Evans, 2017). With the increasing worldwide demand for oral implants and oral bone augmentation procedures and the development of antibiotic resistance due to indiscriminate usage, the use of antibiotics with standard oral implant therapy and GBR should be re-evaluated and proper guidelines established (Tan et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The effect of systemic antibiotics on clinical and patient‐reported outcome measures of oral implant therapy with simultaneous guided bone regeneration

Payer

Tan

Han

et al. 2020

Clinical Oral Implants Res

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Objectives:The aim of the present superiority study was to determine the effect of systemic antibiotics primarily on patient-reported outcome measures (PROMs) and post-surgical complications in patients undergoing oral implant therapy with simultaneous guided bone regeneration (GBR). Materials and Methods:A total of 236 medically and periodontally healthy patients received oral implants with simultaneous GBR at seven centres. Pre-operative antibiotics of 2 g amoxicillin were prescribed to the test group 1 hr prior to surgery and 500 mg thrice daily on days 1-3 after surgery. The control group was given a placebo.Group allocation was performed randomly. Primary outcome variables were PROMs recorded as visual analogue scale scores assessed on days 1-7 and 14 on pain, swelling, haematoma and bleeding. Post-operative complications as secondary outcome variables were examined at 1, 2, 4 and 12 weeks from surgery. Chi-square tests and repeated measures of analysis of variance (ANOVA) were performed for statistical evaluation. Results:No statistically significant differences (p > .05) between the two groups were detected for the evaluated PROMs. The same was noted with respect to postsurgical complications. Four implants were lost-three in the test group and one in the control group. Conclusion:In this trial, systemic antibiotics did not provide additional benefits to PROMs, nor the prevention of post-surgical complications in medically and periodontally healthy patients undergoing oral implant therapy with simultaneous GBR.However, further studies with larger sample sizes are still required to support the clinical outcomes of this study. | 443PAYER Et Al.

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Section: Introductionmentioning

confidence: 99%

The effect of systemic antibiotics on clinical and patient‐reported outcome measures of oral implant therapy with simultaneous guided bone regeneration

Payer

Tan

Han

et al. 2020

Clinical Oral Implants Res

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“…Nevertheless, the use of antibiotics to prevent dental implant failures and postoperative infections remains a controversial issue ( 5 - 7 ) Unfortunately, there is no consensus among oral health professionals over the use and indications of prophylactic antibiotics in conjunction with dental implant surgeries ( 8 - 12 ).…”

Section: Introductionmentioning

confidence: 99%

Antibiotic prophylaxis habits in dental implant surgery among dentists in Spain. A cross-sectional survey

Arteagoitia¹,

Rodríguez-Andrés²,

Rodríguez-Sánchez³

2018

Med Oral

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BackgroundThe use of antibiotics to prevent dental implant failures and postoperative infections remains a controversial issue. The objectives of this study were to assess the current antibiotic prescribing patterns and antibiotic prescribing frequency of dentists in Biscay (Spain) in conjunction with routine dental implant surgery among healthy patients and to determine whether any consensus has been reached by such practitioners and last published evidence was being followed.Material and MethodsObservational cross-sectional study: electronic survey. This study was reported according to the STROBE guidelines. This anonymous questionnaire contained open-ended and close-ended questions. An email was sent 26 October 2017 to all the registered members of the Biscay dentists’ College (n=989). The collected data were analyzed using STATA® 14 software, and 95% confidence intervals (CI) were used to assess the frequency of prescription for each antibiotic regimen.ResultsThe survey was responded to by a total of 233 participants (response rate=23.56%). Overall, 210 participants finished the survey completely, and 23 surveys were answered partially. The questionnaire was responded to by 122 females (58.1%) and 88 males (41.9%). Of the participants, 88% (n=207) always routinely prescribed prophylactic antibiotics in conjunction with dental implant surgery (95% CI: 84.79-92.88%). Approximately 9% (n=22) prescribed antibiotics sometimes (95% CI: 5.68-13.19%), and only 4 dentists (1.72%) never prescribed antibiotics (95% CI: 0.04-3.38%). Overall, 179 of 233 respondents prescribed both pre- and postoperative antibiotics (78.85%, 95% CI: 72.96-83.97%), 13 prescribed antibiotics only preoperatively (5.73%, 95% CI: 3.08-9.59%), and 35 prescribed antibiotics exclusively after routine dental implant surgery (15.42%, 95% CI: 10.98-20.78%).ConclusionsMost of the dentists working in Biscay routinely prescribe prophylactic antibiotics in conjunction with dental implant surgery among healthy patients. A large range of prophylactic regimens are prescribed and the most recently published evidence is not being followed. Key words:Clinical decision making, epidemiology, infection control, dental implants, antibiotics.

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“…The free response options allowed for an evaluation of specific reasons for prescribing that may not have been noted in an otherwise standard response type question. Some surveys have been conducted on antibiotic prescribing habits in dentistry, but those surveys did not include rationale questions; thus, it can't be determined from that survey information whether unknown changes in clinical practice have been affected . Questions that determine practitioner rationale provide insight to address gaps in knowledge and understand the mindset of those who may be affected by the creation of guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…The use of surveys in collecting data about antibiotic prescribing is not new or exclusive to the dental field. Data from other surveys show an increasing use of antibiotics by dentists and reveal that knowledge about antibiotics, resistance, and guidelines are inadequate in the dental profession and that antibiotic prescriptions are often made due to patient pressure (e.g., patient perception that the provider is giving them something to aid in healing) . ‒ These surveys help bring to light information that otherwise may not be evaluated systematically, to capture knowledge and attitudes, and determine need for further research.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic prescribing practices in periodontal surgeries with and without bone grafting

Hai

Lee

Kapila

et al. 2019

Journal of Periodontology

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Background:The prevention of postoperative infection is often the basis for antibiotic prescription; however, the risks of unwarranted antibiotics and lack of guidelines for procedures involving bone grafts creates additional difficulty in decision making for practitioners. This study aims to evaluate practices in antibiotics prescribed for periodontal surgeries with and without bone grafting and acceptability of guidelines.

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Antibiotic Prescribing Habits of Oral and Maxillofacial Surgeons in Conjunction With Routine Dental Implant Placement

Cited by 41 publications

References 10 publications

The effect of systemic antibiotics on clinical and patient‐reported outcome measures of oral implant therapy with simultaneous guided bone regeneration

The effect of systemic antibiotics on clinical and patient‐reported outcome measures of oral implant therapy with simultaneous guided bone regeneration

Antibiotic prophylaxis habits in dental implant surgery among dentists in Spain. A cross-sectional survey

Antibiotic prescribing practices in periodontal surgeries with and without bone grafting

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