Systemic antibiotics in endodontics-International questionnaire study: Choice of types, dosage, loading and duration

Aust Endod J. 2023 Sep:49 Suppl 1:58-63. doi: 10.1111/aej.12686. Epub 2022 Sep 24.

Abstract

The aim of the study was to investigate the systematic antibiotics (SAs) prescribing practices in the endodontic practice worldwide. 7500 general practitioners, postgraduate students and endodontists from Israel and the former Soviet Union (FSU) states were invited to fill in an online questionnaire. The first-choice SA was amoxicillin (80.12%) among the Israeli (p < 0.05) and amoxicillin + clavulanic acid (88.92%) among the FSU respondents (p < 0.05). The first-choice SA for patients with penicillin allergy was clindamycin (78.2%) among Israeli and azithromycin (35.96%) among the FSU respondents (p < 0.05). Most of the respondents from Israel as well as from the FSU reported prescribing SA for 5-7 days. Only 6.24% of the former and 2.59% of the latter reported prescribing SA until the symptoms disappeared (p > 0.05). The usage of SAs is often not in accordance with existing international guidelines and differs among different dentist's populations.

Keywords: antibiotic resistance; endodontics; questionnaire; systemic antibiotic.

MeSH terms

  • Amoxicillin
  • Amoxicillin-Potassium Clavulanate Combination
  • Anti-Bacterial Agents*
  • Endodontics*
  • Humans
  • Practice Patterns, Dentists'
  • Surveys and Questionnaires

Substances

  • Anti-Bacterial Agents
  • Amoxicillin
  • Amoxicillin-Potassium Clavulanate Combination