Abstract
Background The implantologists frequently prescribe antibiotics, analgesics and anti-inflammatories in dental implant surgery. The aims of this study were to evaluate the attitudes of implantologists in Murcia (Spain) to prescribing antibiotics, analgesics and anti-inflammatories in healthy patients during different implant dentistry procedures, and to see how these are influenced by individual dentist’s academic level, professional experience, and ongoing training (attending courses or reading scientific literature on medication use)Material and Methods This cross-sectional study included a total of 200 implantologists from the Murcia area (Spain), who each completed a two-page questionnaire consisting of 26 questions. Results The implant procedure in which most dentists (n=97) prescribed antibiotics was multiple implant surgery with flap raising, in which 55.6% of these 97 respondents used a prophylactic antibiotic regime for 7 days after implant placement. All subjects (n=200) prescribed analgesics for eight out of the eleven procedures included in the survey and anti-inflammatories in six. Dentists with higher academic levels or longer professional experience prescribed more antibiotics, but those who underwent continuous training (attending courses or reading scientific literature) reduced antibiotic prescription. Conclusions Dentists often prescribed antibiotics, analgesics and anti-inflammatories in almost all implant procedures in healthy patients, but ongoing training reduced the frequency of antibiotic prescription in some procedures. Key words:Antibiotics, analgesics, anti-inflammatories, dental implant, oral surgery.
Highlights
In recent years, the prosthetic rehabilitation of missing teeth by means of dental implants has become a common treatment, which has proved very acceptable to patients, mainly due to its high success rates [1]
The exponential growth of implant dentistry has been accompanied by increasing indications for the uses of antibiotics, analgesics and anti-inflammatories in dental implant surgery
Assessing the influence of the implantologist’s academic level, professional experience, course attendance or reading scientific articles on medication use, it was observed that dentists with post-graduate qualifications prescribed antibiotics more often than graduates; similar results were obtained by Wasan et al, [18] who found a tendency for dentists with post-graduate training to prescribe more antibiotics than graduates for acute pulpitis, periodontal abscess, dry socket, impacted third molars, and space infection
Summary
The prosthetic rehabilitation of missing teeth by means of dental implants has become a common treatment, which has proved very acceptable to patients, mainly due to its high success rates [1]. Among the adverse effects of NSAID overuse, the most notable (due to their frequency, morbidity, and mortality) are gastrointestinal effects (dyspepsia, digestive hemorrhages, and gastroduodenal perforations) [13], renal function disorders, platelet aggregation, and increased cardiovascular risk [14] In light of these controversial findings and the lack of consensus – only one scientific paper has studied antibiotics prescribing practices in different dental implant procedures [7] – and the fact that there is no published information about implantologists attitudes and practice when it comes to prescribing medication, this study set out to assess dentists’ approaches in Murcia (Spain) to the use of antibiotics, analgesics and anti-inflammatories in healthy patients undergoing different implantological procedures and to analyze how these are influenced by the individual dentist’s academic level, professional experience, and participation in ongoing training through course attendance or through reading scientific literature about drug prescription. Conclusions: Dentists often prescribed antibiotics, analgesics and anti-inflammatories in almost all implant procedures in healthy patients, but ongoing training reduced the frequency of antibiotic prescription in some procedures
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