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Antibiotic prophylaxis in dentistry

Björn Klinge, Thomas Flemming, Jan Cosyn, Hugo De Bruyn, Barbara M Eisner, Margareta Hultin, Flemming Isidor, Niklaus P Lang, Bodil Lund, Jürg Meyle, Andrea Mombelli, Jose Manuel Navarro, Bjarni Pjetursson, Stefan Renvert, Henning Schliephake
INTRODUCTION: The assignment for this working group was to update the existing knowledge regarding factors considered being of special relevance for the patient undergoing implant therapy. This included areas where conflicting opinions exists since long or recently has been expressed, like the role of antibiotic prophylaxis in dental implant surgery and peri-implantitis. Also areas with growing interest and concern such as patient-reported outcome measures (PROMs) and health-economy was included in this review...
September 2015: Clinical Oral Implants Research
Joel J Napeñas, Omar Kujan, Paolo G Arduino, Suma Sukumar, Sheila Galvin, Marinka Baričević, John Costella, Rakefet Czerninski, Douglas E Peterson, Peter B Lockhart
OBJECTIVES: Current recommendations for safe and effective dental management are less than optimal for some medical conditions because of limited evidence, conflicting conclusions, or both. This review (1) compiled and evaluated dental management recommendations for select medical conditions; (2) summarized recommendations and their assigned levels of evidence; (3) identified areas of conflict, ambiguity, or both; and (4) identified issues that warrant future research, enhanced consensus statements, or both...
August 2015: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Mahendra Patait, N Urvashi, M Rajderkar, S Kedar, Kinjal Shah, Reeta Patait
BACKGROUND: Antibiotics are important in the management and prophylaxis of infections in patients at a risk of experiencing microbial disease. Uses of systemic antibiotics in dentistry are limited since management of acute dental conditions is primarily based upon extraction of teeth or extirpation of the pulp. However, the literature provides evidence of inappropriate prescribing practices by practitioners, due to a number of factors from inadequate knowledge to social factors. AIM: The aim was to assess the therapeutic prescription of antibiotics in the dental office...
April 2015: Journal of Pharmacy & Bioallied Sciences
Marta Monteserín-Matesanz, Germán C Esparza-Gómez, Begoña García-Chías, Carmen Gasco-García, Rocío Cerero-Lapiedra
OBJECTIVES: To study clinical and epidemiological characteristics of the patients treated at the clinic "Integrated Dentistry for Patients with Special Needs (Special Care Dentistry)" at Complutense University of Madrid (UCM), as well as to know the dental treatments performed in these patients and the modifications from the usual treatment protocol. The information obtained from the results could also be applied in order to assess the needs of dental students education about this type of patients...
March 2015: Medicina Oral, Patología Oral y Cirugía Bucal
N O A Palmer
The purpose of this paper is to review the principles of antibiotic prescribing in light of the increasing worldwide problem of antibiotic resistance and the evidence of inappropriate use of antibiotics in dentistry. Guidance based on a review of the scientific evidence and recommended good practice for prescribing antibiotics in dental practice will be given.
February 2014: Primary Dental Journal
Larry E Jenson
As a legal concept, standard of care refers to the set of practices that are accepted as appropriate based on the body of common case law decisions. This is contrasted with a concept of ethical standard of care, which is defined as the conscientious application of up-to-date knowledge, competent skill, and reasoned judgment in the best interest of the patient, honoring the autonomy of the patient. The article probes six areas where the understanding of standard of care is ambiguous.
2014: Journal of the American College of Dentists
Fulvia Costantinides, Emanuele Clozza, Giulia Ottaviani, Margherita Gobbo, Giancarlo Tirelli, Matteo Biasotto
PURPOSE: Infective endocarditis (IE) in high-risk patients is a potentially severe complication which justifies the administration of antibiotics before invasive dental treatment. This literature review presents the current guidelines for antibiotic prophylaxis and discusses the controversial aspects related to the antibiotic administration for prevention of IE. RESULTS: According to the guidelines of the American Heart Association, individuals who are at risk to develop IE following an invasive dental procedure still benefit from antibiotic prophylaxis...
2014: Oral Health & Preventive Dentistry
Maria Prior, Paula Elouafkaoui, Andrew Elders, Linda Young, Eilidh M Duncan, Rumana Newlands, Jan E Clarkson, Craig R Ramsay
BACKGROUND: Antibiotic prescribing in dentistry accounts for 9% of total antibiotic prescriptions in Scottish primary care. The Scottish Dental Clinical Effectiveness Programme (SDCEP) published guidance in April 2008 (2nd edition, August 2011) for Drug Prescribing in Dentistry, which aims to assist dentists to make evidence-based antibiotic prescribing decisions. However, wide variation in prescribing persists and the overall use of antibiotics is increasing. METHODS: RAPiD is a 12-month partial factorial cluster randomised trial conducted in NHS General Dental Practices across Scotland...
2014: Implementation Science: IS
F Ghaderi, M Oshagh, R Dehghani, R Hasanshahi
UNLABELLED: Statement of Problem : Dental procedures leading to oral tissue injuries may provoke bacterial release to the blood stream causing infective endocarditis (IE) in vulnerable patients. The guideline which was proposed by AHA has been updated 9 times having the last update published in 2007. This study was endeavored to uncover the level of knowledge of general dental practitioners in Shiraz, concerning the 2007 AHA guidelines for endocarditis prophylaxis in patients with cardiac problems receiving dental treatments...
March 2013: Journal of Dentistry
Christin Löffler, Femke Böhmer, Anne Hornung, Hermann Lang, Ulrike Burmeister, Andreas Podbielski, Anja Wollny, Günther Kundt, Attila Altiner
BACKGROUND: Bacterial resistance development is one of the most urgent problems in healthcare worldwide. In Europe, dentistry accounts for a comparatively high amount of antibiotic prescriptions. In light of increasing levels of bacterial resistance, this development is alarming. So far, very few interventional studies have been performed, and further research is urgently needed. By means of a complex educational intervention, the DREAM trial aims at optimising antibiotic prescribing behaviour of general dentists in Germany...
2014: Implementation Science: IS
Anne-Marie Glenny, Richard Oliver, Graham J Roberts, Lee Hooper, Helen V Worthington
BACKGROUND: Infective endocarditis is a severe infection arising in the lining of the chambers of the heart with a high mortality rate.Many dental procedures cause bacteraemia and it was believed that this may lead to bacterial endocarditis (BE) in a few people. Guidelines in many countries have recommended that prior to invasive dental procedures antibiotics are administered to people at high risk of endocarditis. However, recent guidance by the National Institute for Health and Care Excellence (NICE) in England and Wales has recommended that antibiotics are not required...
October 9, 2013: Cochrane Database of Systematic Reviews
Anupriya Sharma, Gurpreet Kaur, Ashish Sharma
Papillon-Lefèvre syndrome (PLS) is a very rare syndrome of autosomal recessive inheritance characterized by palmar-plantar hyperkeratosis and early onset periodontitis, leading to premature loss of both primary and permanent dentitions. Various etiopathogenic factors are associated with the syndrome, but a recent report has suggested that the condition is linked to x mutations of the cathepsin C gene. The purpose of this report is to describe two cases of PLS in the same family who presented to the Department of Dentistry of Dr...
May 2013: Journal of Indian Society of Periodontology
E J Keene
BACKGROUND: Ataxia telangiectasia (AT) is a rare neurodegenerative condition which has not previously been reported in the dental literature. It is a life threatening and debilitating disorder of progressive cerebellar ataxia and choreoathetosis, progressive oculocutaneous telangiectasias, immunodeficiency with susceptibility to sinopulmonary infections, impaired organ maturation, X-ray hypersensitivity, and a high incidence of malignancies. Of importance in dentistry is the contra-indication for taking diagnostic radiographs...
February 2014: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Marco Esposito, Maria Gabriella Grusovin, Helen V Worthington
BACKGROUND: Some dental implant failures may be due to bacterial contamination at implant insertion. Infections around biomaterials are difficult to treat, and almost all infected implants have to be removed. In general, antibiotic prophylaxis in surgery is only indicated for patients at risk of infectious endocarditis; with reduced host-response; when surgery is performed in infected sites; in cases of extensive and prolonged surgical interventions; and when large foreign materials are implanted...
2013: Cochrane Database of Systematic Reviews
Robin A Seymour
UNLABELLED: This review article considers the changes in antibiotic usage over the past 40 years. Perhaps the most significant advance is in the prophylactic use of these drugs to reduce the effect of dentally induced bacteraemia. A greater understanding of various dental infections and, in particular, the role of bacteria in the pathogenesis of periodontal disease, has led to further interest in the indications for these drugs as adjunctive measures. Whilst new indications for the use of antibiotics become more widespread, all members of the healthcare professions need to be aware that these drugs have significant adverse effects and their misuse can lead to life-threatening infection...
May 2013: Dental Update
C E Renson, A T Stanway
No abstract text is available yet for this article.
May 2013: Dental Update
C Ramu, T V Padmanabhan
Antibiotics are frequently used in dental practice. Clinical and bacteriological epidemiological factors determine the indications of antibiotics in dentistry. Antibiotics are used in addition to appropriate treatment to aid the host defences in the elimination of remaining bacteria. It is indicated when there is evidence of clinical sign involvement and spread of infection. Antibiotics are prescribed in dental practice for treating odontoge nic infections, non-odontogenic infections, as prophylaxis against focal and local infection...
September 2012: Asian Pacific Journal of Tropical Biomedicine
William Watters, Michael P Rethman, Nicholas Buck Hanson, Elliot Abt, Paul A Anderson, Karen C Carroll, Harry C Futrell, Kevin Garvin, Stephen O Glenn, John Hellstein, Angela Hewlett, David Kolessar, Calin Moucha, Richard J O'Donnell, John E O'Toole, Douglas R Osmon, Richard Parker Evans, Anthony Rinella, Mark J Steinberg, Michael Goldberg, Helen Ristic, Kevin Boyer, Patrick Sluka, William Robert Martin, Deborah S Cummins, Sharon Song, Anne Woznica, Leeaht Gross
The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, "Antibiotic Prophylaxis in Bacteremia in Patients With Joint Replacement," published in 2009. Based on the best current evidence and a systematic review of published studies, three recommendations have been created to guide clinical practice in the prevention of orthopaedic implant infections in patients undergoing dental procedures...
March 2013: Journal of the American Academy of Orthopaedic Surgeons
G S Ajantha, Veda Hegde
The continuing emergence of antimicrobial resistant bacteria is a global health problem. Multi-drug resistance is now widespread. Resistance rates differ noticeably on a worldwide, regional and even institutional basis. Because antibiotics are commonly used in dentistry, the dental community is not spared from this threat of microbial resistance to antibiotics. This article presents an overview of antimicrobial drug resistance, discusses how this large and expensive problem affects the dental community and what we can do to change the situation, both as concerned citizens and as dental practitioners...
June 2012: New York State Dental Journal
R S Ireland, N O Palmer, A Lindenmeyer, N Mills
BACKGROUND: There is increasing evidence of the inappropriate use of antimicrobials in dentistry and this may contribute to the problem of antimicrobial resistance. The research to date with regard to efficacy of antimicrobial prophylaxis in reducing failure of integration and postoperative complications when placing dental implants remains equivocal. The aim of this study was to investigate how dentists in the UK use antimicrobials prophylactically in implant practice. METHOD: An e-mail link was provided in 2011 to an anonymous online (Smart-Survey) questionnaire using three databases of dentists who, by being on them, had registered an interest in placing dental implants...
October 2012: British Dental Journal
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