The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 17 , ISSUE 6 ( June, 2016 ) > List of Articles

RESEARCH ARTICLE

Prophylactic and Therapeutic Antibiotic Patterns of Lebanese Dentists for the Management of Dentoalveolar Abscesses

Ghada Asmar, Dominique Cochelard, Jacques Mokhbat, Mohamed Lemdani, Ahmed Haddadi

Citation Information : Asmar G, Cochelard D, Mokhbat J, Lemdani M, Haddadi A. Prophylactic and Therapeutic Antibiotic Patterns of Lebanese Dentists for the Management of Dentoalveolar Abscesses. J Contemp Dent Pract 2016; 17 (6):425-433.

DOI: 10.5005/jp-journals-10024-1867

Published Online: 01-10-2016

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

General dentists issue approximately 10% of antibiotic prescriptions across the global medical community consummation. The use of antibiotics for the management of dentoalveolar infections should be considered only in the presence of an increased risk of a systemic involvement or to prevent metastatic infections. This study aimed to investigate the prophylactic and therapeutic antibiotic prescription patterns of Lebanese dentists for the management of dentoalveolar abscesses. The aim was to evaluate the influence of the patients’ medical condition and clinical signs data on the patterns of antibiotics prescription.

Materials and methods

Only patients with a dentoalveolar abscess were included in the study. Age, medical history, reason for consultation, clinical signs and symptoms, diagnosis, type of local treatment, and type of antibiotherapy were collected for each patient attending dental clinics in Beirut. The data were analyzed with chi-square test and multivariate regression.

Results

Out of the 563 initial patients, 127 were selected for the study and received a local treatment. The patient's medical condition and age did not affect the decision to prescribe antibiotics 36.2% patients with pain and 11.8% patients with swelling were prescribed antibiotics. Pain and swelling contributed to a higher level of antibiotic prescription compared to other signs and symptoms. Antibiotics were prescribed inappropriately to 51.76 and 38.10% among patients with an acute or chronic dentoalveolar abscess respectively. The main prescribed antibiotic was amoxicillin.

Conclusion

This study showed that dentists often did not follow the current prophylactic and therapeutic antibiotic prescription guidelines.

Clinical significance

Antibiotics prescriptions in dentistry will be more pertinent, leading to a decrease in inadequacy of prescriptions, microbial resistance, and the development of multiresistant germs against antibiotics.

How to cite this article

Asmar G, Cochelard D, Mokhbat J, Lemdani M, Haddadi A, Ayoub F. Prophylactic and Therapeutic Antibiotic Patterns of Lebanese Dentists for the Management of Dentoalveolar Abscesses. J Contemp Dent Pract 2016;17(6):425-433.


PDF Share
  1. Clinical use of antibiotics in dental practice. Int J Antimicrob Agents 1998 Feb;9(4):235-238.
  2. Guideline on antibiotic prophylaxis for dental patients at risk for infection. Available from: http://www.aapd.org/media/policies_guidelines/g_antibioticprophylaxis.pdf.
  3. Antibiotics and their use in the treatment of orofacial infections, part I. Gen Dent 1994 Sep-Oct;42(5):398, 400, 402.
  4. Antibiotic use in dentistry. J Am Dent Assoc 1997 May;128(5):648.
  5. Which antibiotic prophylaxis guidelines for infective endocarditis should Canadian dentists follow? J Can Dent Assoc 2007 Jun;73(5):401-405.
  6. Prescription of antibiotics for oral and dental care. Med Mal Infect 2012 May;42(5):193-202.
  7. A study of therapeutic antibiotic prescribing in National Health Service general dental practice in England. Br Dent J 2000 May;188(10):554-558.
  8. Pattern of antibiotic prescription in the management of oral diseases among dentists in Kuwait. J Dent 2004 Sep;32(7):503-509.
  9. Incidence of antibiotic prescribing in dental practice in Norway and its contribution to national consumption. J Antimicrob Chemother 2007 Jun;59(6):1161-1166.
  10. Antibiotic use in dental practice. A review. Med Oral Pathol Oral Cir Buccal 2007 May;12(3):186-192.
  11. A retrospective investigation of the clinical management of patients attending an out of hours dental clinic in Merseyside under the new NHS dental contract. Br Dent J 2008 Dec;205(12):659-664.
  12. Gram-negative bacteremia. I. Etiology and ecology. Arch Int Med 1962;110(6)845-847.
  13. Adult antimicrobial prescribing in primary dental care for general dental practitioners. FGDP. London: The Royal College of Surgeons of England; 2000.
  14. Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures. London: National Institute for Health and Clinical Excellence (UK); 2008.
  15. The impact of clinical audit on antibiotic prescribing in general dental practice. Br Dent J 2006 Nov;201(10):635-641.
  16. Are antibiotics being used appropriately for emergency dental treatment? Br Dent J 2001 Oct;191(7):391-393.
  17. Antibiotic prescribing in dental practice in Belgium. Int Endod J 2009 Dec;42(12):1112-1117.
  18. Antibiotic prescription for acute dental conditions in the primary care setting. Br Dent J 1996 Dec 7-21;181(11-12):401-404.
  19. Adult antimicrobial prescribing in primary dental care for general dental practitioners. 2nd ed. London: FGDP (UK); 2012.
  20. Endodontic diagnosis. 2013 Fall. Available from: http://www.aae.org/colleagues.
  21. Prophylactic use of penicillin V in teeth with necrotic pulps and asymptomatic periapical radiolucencies. Oral Surg Oral Med Pathol 1985 Aug;60(2):201-207.
  22. Use and abuse of antibiotics. 2012 Winter. Available from: http://www.aae.org/colleagues.
  23. The knowledge and attitude of practicing dentists towards the antibiotic prescription: a regional study. BJPR 2014;4(16):2006-2018.
  24. An outcome audit of three day antimicrobial prescribing for the acute dentoalveolar abscess. Br Dent J 2011 Dec;211(12):591-594.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.