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.
Highlights
The practice of oral implantology has been expanding widely over the last few decades, and more patients and dental practitioners are showing interest in this field [1,2]
The mean age was 37.2 ± 8.5 years and mean experience with dental implantology was 6 ± 4.3 years with an average number of implant inserted of 271 ± 664
When asked whether they prescribe antibiotics for all dental implant insertion irrespective of the patient’s medical or dental condition, 49.4% of surveyed dentists answered yes. Of those who answered no to this question, the decision was mainly affected by the presence of systemic disease (91%), periodontitis (86%), poor oral hygiene (77%), and to lesser extent smoking (48%) and the brand name of the dental implant system (14%)
Summary
The practice of oral implantology has been expanding widely over the last few decades, and more patients and dental practitioners are showing interest in this field [1,2]. The clinician decision to prescribe an antibiotic or not for a certain procedure is usually based on several factors, some factors are procedure related; the type, site, complications, sterility and duration of the procedure [21,22], patient related; dental and medical history, drug allergies and cost [21,22] and clinician related; the clinician knowledge, experience, education and working environment [22,23]. 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
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