Antibiotic prescription patterns among Swedish dentists working with dental implant surgery: adherence to recommendations

Abstract

There is a wide variation in the choice of compound and prescription patterns of prophylactic antibiotic prior to implant insertion. A reduction in antibiotic prescription to a single dose was observed comparing 2008 and 2012, probably influenced by scientific reviews. Dentists with postgraduate education are more likely to limit antibiotic usage.

Should Perioperative Antibiotics Be Prescribed Prophylactically for Uncomplicated Single Implant Surgeries?

“…It is also at odds with the medical literature, which shows the efficacy of an antibiotic is optimized when given preoperatively 21 . A survey of Swedish dentists found a similar result, with 74% of dentists prescribing antibiotics during implant surgery 22 . Roughly half of clinicians prescribed antibiotics for an extended period after the surgery.…”

“…Only about 8% reported never prescribing antibiotics for this procedure. A similar questionnaire was completed in Sweden, 24 in which 74% of dentists reported prescribing antibiotics with dental implant placement, with about half extending antibiotic coverage after surgery. General dentists appeared more inclined to extend antibiotic administration after surgery than specialists 24 .…”

“…A similar questionnaire was completed in Sweden, 24 in which 74% of dentists reported prescribing antibiotics with dental implant placement, with about half extending antibiotic coverage after surgery. General dentists appeared more inclined to extend antibiotic administration after surgery than specialists 24 . With such variation in prescription patterns, patients and clinicians would benefit from evidence‐based answers to these questions: should antibiotics be prescribed for dental implant placement?…”

Complex systematic review ‐ Perioperative antibiotics in conjunction with dental implant placement

“…However, this tradition was early suggested to be redundant by some surgeons (Gynther et al 1998). Reports show that, in some regions, the number of dental implant surgeons who chose to omit antibiotic prophylaxis from their surgical protocol is increasing (Khalil et al 2014). Over the years the benefits of antibiotic prophylaxis during implant placement has remained a controversial subject (Schwartz & Larson 2007;Ahmad 2012;Esposito & Worthington 2013).…”

Antibiotic’s effectiveness after erupted tooth extractions: A retrospective study

“…Antibiotic resistance driven by antibiotic misuse is considered a world public issue, which is deemed to be among one of the most severe world health problems according to the reports from the Centers for Disease, Control and Prevention (Centers for Disease Control & Prevention, 2019; Dayer, Chambers, Prendergast, Sandoe, & Thornhill, 2013; Fleming‐Dutra et al, 2016; Gutschik & Lippert, 1990; Khouly, Braun, & Chambrone, 2019; Soheilipour et al, 2011). It has been estimated that up to 30% of prescribed antibiotics are unnecessary (Fleming‐Dutra et al, 2016; Khalil, Hultin, Fred, Olsson, & Lund, 2015; Soheilipour et al, 2011). Among dentists, there is a lack of consensus about antibiotic prescription (Khouly et al, 2019); in addition, one of the most recent reviews on the use of antibiotics in dentistry (Marchionni et al, 2017) has pointed out that for simple tooth extractions the use of antibiotics could increase the risks of the medication's adverse effects without significantly preventing postoperative complications.…”