Antibiotics prescribing practices in oral implantology among jordanian dentists. A cross sectional, observational study

Abstract

BackgroundIn oral implantology, there is no consensus on the most appropriate regimen for antibiotics prescribing, the decision to prescribe antibiotic is usually based on procedure, patient and clinician related factors. The aim of this study was to investigate the rationale of antibiotic prescribing among Jordanian clinicians who practice oral implantology.FindingsThe target sample for the study was the 250 Jordan Dental Implant Group members. A five page questionnaire contained 41 questions, both closed and open questions were used to collect data. Statistical analysis was performed using SPSS Windows 16.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics were generated.The response rate was (70.4%) 176/250. Mean age was 37.2 yrs, 49.4% always prescribe antibiotics mainly oral amoxicillin and amoxicillin with clavulinic acid. Antibiotics prescribing increased with flap raising, multiple implants and sinus or bone augmentation. Patient medical condition, periodontitis and oral hygiene were the most important clinical factors in antibiotic prescribing, non-clinical factors were; reading scientific materials, courses and lectures, knowledge gained during training, and the effectiveness and previous experience with the drug.ConclusionsWide variations in antibiotics types, routes, dose and duration of administration were found. Recommendations on antibiotic prescribing are needed to prevent antibiotic overprescribing and misuse.

Current Trend of Antimicrobial Prescription for Oral Implant Surgery Among Dentists in India

“…Almost 20 % (n = 41) of those in the penicillin group also recommend a nitroimidazole along with the penicillin agent as an adjunct for anaerobic cover. A similar trend favouring the penicillin group of drugs was found by Abukaraky et al [31] from their survey of dentists in Jordan. Almost 82 % of their study sample also preferred a penicillin drug with amoxicillin and clavulanic acid and amoxicillin being prescribed by 61.5 and 38.5 % respectively.…”

“…The only study with investigation criteria similar to our study was conducted in Jordan and found that only 49.4 % of dentists were in favour of routine antibiotic prescription [31]. The most commonly prescribed pharmacological group of antimicrobial agents by our study sample was the penicillin group (81 %, n = 230) and within this group, almost 50 % (n = 114) prescribed amoxicillin with clavulanic acid as the drug of choice, along with 33.9 % (n = 78) prescribing amoxicillin.…”

“…Published literature in this context related to either use of AMAs by dental practitioners in routine clinical practice or the success and failure of oral implants with or without AMAs [23][24][25][26][27][28][29][30]. Only one study from Jordan had specifically reported the use of AMAs by dentists performing oral implant surgery [31].…”

An investigation of antibiotic prophylaxis in implant practice in the UK

“…This compares with 50% reported in a similar study with implant practitioners in Jordan. 26 Approximately 85% of respondents reported routinely prescribing an antibiotic pre-operatively and almost 80% postoperatively. The results in this study suggest a wide variation in prescribing patterns with respect to the choice of drug, the dose and the duration for both pre-operative and postoperative prescription (Tables 2-5).…”

“…This, however, remains a controversial issue with little high quality evidence to support the routine use of prophylactic antimicrobials in the placing of implants. A recent systematic review 26 concluded that it is still unknown whether postoperative antibiotics are beneficial and which is the most effective antibiotic.…”