Abstract
The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.
Highlights
Antibiotics have dramatically changed the way infectious diseases are treated
Total of 563 dentists participated in the survey, of which 513 participants logged onto the online questionnaire
About 272 questionnaires were completed sufficiently to be included in the analysis. 155 (56.92%) participants were classified as “specialized/orientated practice” (SOP) including 107 (39.33%) from the French society of periodontology and oral implantology (SFPIO), 12 (4.41%) from the College of University Teachers of Peri-Antibiotics 2021, 10, 303 odontology (CNEP), and 36 (13.23%) affiliated to both
Summary
Antibiotics have dramatically changed the way infectious diseases are treated. Their misuse and overuse contributes to the threat of antimicrobial resistance, which is a significant cause of morbidity and mortality worldwide [1,2,3]. A large information campaign (“Antibiotic are not Automatic”) led to a significant reduction in the consumption of antibiotics in the community (up to 34%) between 2001 and 2005, but this positive effect was temporary. After a plateau phase between 2005 and 2010 the antibiotic consumption increased again from to 2018 (8%) [7]. Among Gram-positive bacteria, a significant reduction (−58%) in the proportion of MRSA (methicillin-resistant staphylococcus aureus) was observed between 2000 and 2016. The main issue is the increase in the resistance of Enterobacteriaceae to third-generation cephalosporins, the level of which has reached in
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