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

Abstract

Objectives The aim of our study was to evaluate antimicrobial prescription behaviour amongst dentists performing oral implant surgery in India. Study Design Dentists performing oral implant surgery from different parts of India were personally approached during various national events such as conferences and academic meetings and information regarding their prescription habits for antimicrobial agents in routine oral implant surgery was collected using a structured questionnaire. Results Out of a total sample of 332 dentists, 85.5 % prescribed 17 different groups or combinations of antibiotics routinely for oral implant surgery in the normal healthy patient. Majority preferred the peri-operative protocol of drug therapy (72.2 %) with variable and prolonged duration of therapy after surgery, ranging from 3 to 10 days. An antimicrobial mouthwash was routinely prescribed by all the doctors (14.5 %) not in favour of prescribing antimicrobials in a normal healthy patient.Conclusions Our findings suggest that there is a trend of antimicrobial agent misuse by dentists performing oral implant surgery in India, both in terms of drugs used and the protocols prescribed. The majority of these dentists prescribed a variety of antimicrobial agents for prolonged durations routinely even in the normal, healthy patients.

Current trends in antibiotic prescription behavior among Saudi dentists performing implant surgery: A cross‐sectional observational study

“…In addition, dentists routinely prescribed antibiotics from the penicillin family prophylactically. This finding was found to be in agreement with those of Khalil et al, Datta et al, and Ireland et al The reason that amoxicillin (penicillin group) is used as an antibiotic of choice in implant surgery is attributed to its established evidence in reducing implant failure through clinical trials . In addition, amoxicillin has better compliance, good absorption, and bioavailability, with a wider bactericidal effect on oral micro flora; therefore, it is preferred in implant surgery compared to other antibiotics …”

“…Based on these finding, less than half of the respondents (41%) considered prescribing amoxicillin both preoperatively and postoperatively as a drug of choice for a duration of 3‐5 days. These results were found to be in concordance with those of Abukaraky et al, Datta et al, and Hossein et al This discrepancy in prescribing patterns is due to a lack of specific guidelines and consensus on the pattern of antibiotic prescription during implant surgery . From the available evidence, it is clear that antibiotic‐prescribing patterns in implant surgery are still debatable and lack clinical guidelines.…”

“…The response rate in the present survey was 100%; 64 (48.1%) males and 69 (51.9%) females. A similar high response rate was also noted in Abukaraky et al, Khalil et al, and Datta et al's studies . This type of survey was distinctive, as to our knowledge, this is the first study of its kind to be conducted in Saudi Arabia.…”

Antibiotics in Dentistry-Double-Edged Sword

“…The definitive indications for use of antibiotics in dentistry are limited and specific [18]. In a study conducted for studying the current trend of antimicrobial prescription for oral Implant surgery among dentists in India, it was concluded that there is a trend of antimicrobial agent misuse both in terms of drugs used and the protocols prescribed [19]. Prophylactic antibiotic for each implant surgery is not mandatory, however appropriate antibiotics are useful in preventing postoperative infections after implant placement [20].…”

Profilaxis antibiótica en Implantología Oral. Revisión crítica de la literatura.

“…UU. prescriben rutinariamente antibióticos de manera preoperatoria y/o posoperatoriamente [13][14][15][16][17][18] .…”