Paediatric dentistry: Child caries and antibiotics

Kelly, Robert B.; Kidy, Sofia; Allen, Philip A.; Sittampalam, G.

doi:10.1038/sj.bdj.2018.1122

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…This is much higher than has been previously reported in the literature where 40% of patients had received antibiotics prior to hospital attendance. 8 This highlights the emergency nature of the patients attending during this period.…”

Section: Discussionmentioning

confidence: 94%

Paediatric dental pain and infection during the COVID period

et al. 2021

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Background During the coronavirus pandemic, paediatric patients will still likely present with dental pain and infection. In order to streamline care at King's College Hospital (KCH), Paediatric Dentistry and Oral and Maxillofacial Surgery (OMFS) have developed a collaborative working approach allowing patients to be treated effectively and to streamline patient care in the absence of easy access to general anaesthetic facilities. Method Presenting complaints, treatment need and the treatment received were recorded for all paediatric patients presenting with dental pain and infection in the “lockdown” period (23rd March- 14th June) during “normal” working hours and “out of hours” to either paediatric dentistry or OMFS. Results 420 calls were triaged which converted to 67 patients seen face-to-face for oro-facial pain and infection. 41% of children were treated successfully under Local anaesthetic alone, only 13% required a general anaesthetic (GA) in the “lockdown” period. The vast majority of patients had antibiotics prescribed prior to attendance (80%). Conclusion We have demonstrated the demographic, presenting complaints and treatment need of patients who presented to KCH during the lockdown period with dental pain and infection. The majority were able to be treated without needing for GA facilities. This paper highlights how a collaborative approach between paediatric dentistry and OMFS can help streamline patient care and is a model which can be adopted by other units in the event of further “lockdowns”.

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Section: Discussionmentioning

confidence: 94%

Paediatric dental pain and infection during the COVID period

et al. 2021

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“…Esse protocolo viabiliza a consulta do protocolo frente a escolha de um antibiótico ou medicamente utilizado em odontologia (MANTA et al, 2022). Contribuciones a Las Ciencias Sociales, São José dos Pinhais, v.17, n.1, p. 8490-8505, 2024 Quase 10% das prescrições de antibióticos são executadas por dentistas, sendo necessário a monitorização e melhorias no que tange às práticas de prescrição (KELLY et al, 2018). Em odontopediatria, para o manejo de infecções odontogênicas as penicilinas são primeira escolha, visto que possuem eficácia e baixa toxicidade.…”

Section: Resultsunclassified

Nuances sobre a antibioticoterapia na odontopediatria: uma revisão de literatura

Platon,

Mendonça,

De Sousa

et al. 2024

CLCS

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Cabe ao odontopediatra a prescrição farmacológica aos pacientes, sendo que o uso de antibióticos indevidamente em crianças pode ocasionar resistência microbiana. Objetivou-se discorrer sobre a relação entre o uso de antibióticos e o surgimento da cárie na primeira infância, bem como esclarecer sobre a importância das diretrizes no que tange a prescrição dos antibióticos para a população pediátrica no contexto odontológico. Realizou-se uma revisão de literatura com levantamento de dados bibliográficos, nas bases de dados Google Scholar, SciELO e BBO, artigos publicados nos últimos 5 anos (2018-2023), redigidos em língua portuguesa e inglesa, utilizando a estratégia PICO. Foi possível analisar que não há relação direta entre o uso de antibióticos e a cárie. Porém, os antibióticos possuem açúcares, como a sacarose, que ao entrarem em contato com placas bacterianas levam a acidificação do meio, acarretando a hipomineralização ou dissolução do esmalte dentário. Sendo assim, deve haver estratégias de educação permanente em relação ao uso de antimicrobianos para os profissionais de odontologia, bem como protocolos de prescrição, tendo como resultado a conscientização, prevenção e controle da resistência bacteriana.

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“…These systemic conditions require special care during invasive dental procedures, since they can cause a continuity relationship between pathogenic microorganisms from the oral cavity and damage to the patient's heart problems (Cornejo et al, 2011;Kelly et al, 2018). Accordingly, the condition is called infective endocarditis (IE) and is caused by bacteria that affect the endocardium, causing inflammation in the membrane that lines the inner wall of the heart and cardiac valves (Cornejo et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Dental treatment in child with congenital heart disease under general anesthesia: Clinical case report

Filho

Soares

Santos

et al. 2021

RSD

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Congenital heart diseases consist of structural defects of the heart and represent serious malformations, which manifest in newborns, contributing significantly to perinatal mortality. The dental management of patients with this condition may require caution by professionals, owing to the possibility of bleeding and the risk of causing an infectious endocarditis due to the variety of microorganisms residing in the oral cavity. The present case report aimed to detail dental care under general anesthesia in a hospital for a child with congenital heart disease. Female patient, 4 years old, was diagnosed with atrial and interventricular communication and hemodynamic repercussion 21 days after birth. The patient received dental treatment according to the proposed plan, which included dental restorations, conservative pulp therapy and extraction of lower anterior teeth. Posteriorly, a removable partial prosthesis was made for the patient for the purpose of functional aesthetic rehabilitation. The use of general anesthesia may reduce the risk of infective endocarditis and allows the performance of several dental procedures with a single antibiotic prophylaxis, since the cardiac pediatric patient needs a correct planning of the procedures to be performed.

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Paediatric dentistry: Child caries and antibiotics

Cited by 4 publications

References 1 publication

Paediatric dental pain and infection during the COVID period

Paediatric dental pain and infection during the COVID period

Nuances sobre a antibioticoterapia na odontopediatria: uma revisão de literatura

Dental treatment in child with congenital heart disease under general anesthesia: Clinical case report

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