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Antibiotic prophylaxis in dentistry

Rubens Caliento, Dmitry José de Santana Sarmento, Solange Kobayashi-Velasco, Stella Núbia Coelho de Sá, Patrícia Pinheiro Shibutani, Marina Gallotini
AIMS: To compare outcomes of dental procedures among a group of renal transplant recipients who had received antibiotic prophylaxis (AP) before the procedure and another group that had not received AP. METHODS AND RESULTS: The records of all renal transplant patients treated at the Special Care Dentistry Center (SCDC) were assessed. Dental procedures documented in the records were classified as invasive or noninvasive. All dental procedures performed were compiled, and the prescription or nonprescription of prophylactic antibiotics, and the incidence and description of postoperative complications after invasive procedures were recorded...
April 6, 2018: Special Care in Dentistry
Nikolaus O A Palmer
The purpose of this paper is to review the principles of antibiotic prescribing in light of the increasing worldwide problem of antimicrobial resistance and the evidence of inappropriate use of antibiotics in dentistry. Guidance on the management of dental infections and antibiotic prophylaxis based on a review of the scientific evidence will be given to ensure good patient care. Clinical relevance: To discuss the relevance of legislation around antimicrobial prescribing and antimicrobial stewardship for dentists...
December 2016: Dental Update
George Maranon
Dentistry plays an important role in managing the antibiotic resistance problem. Guidelines for the use of antibiotics for prevention of endocarditis, prosthetic joint infections and other medical conditions have changed frequently. Unfortunately, the original guidelines and subsequent changes were often made through consensus opinions and not evidence based. Clinical decisions on the use of antibiotics must be made on the basis of the scientific evidence with knowledge of the most current guidelines and indications...
March 2017: Journal of the California Dental Association
Leah S Spittle, Kathleen B Muzzin, Patricia R Campbell, Janice P DeWald, Francisco Rivera-Hidalgo
AIM: Antibiotic prophylaxis guidelines have been developed for health care and dentistry. The authors examined whether dentists were following the 2007 American Heart Association (AHA) and the 2012 American Association of Orthopaedic Surgeons (AAOS) recommendations for antibiotic prophylaxis. MATERIALS AND METHODS: A survey was sent to 600 dentists in the south-central region of the United States. The survey examined dentists' prescribing practices for patients with cardiac and prosthetic joint replacements, antibiotic regimen prescribed, confidence in their prescription decisions, and dentistry's contribution to antibiotic resistance...
July 1, 2017: Journal of Contemporary Dental Practice
Sarah Millot, Philippe Lesclous, Marie-Laure Colombier, Loredana Radoi, Clément Messeca, Mathieu Ballanger, Jean-Luc Charrier, Philippe Tramba, Stéphane Simon, Alain Berrebi, Fabien Doguet, Emmanuel Lansac, Christophe Tribouilloy, Gilbert Habib, Xavier Duval, Bernard Iung
Oral health is of particular importance in patients with heart valve diseases because of the risk of infective endocarditis. Recommendations for antibiotic prophylaxis before dental procedures have been restricted, but the modalities of oral evaluation and dental care are not detailed in guidelines. Therefore, a multidisciplinary working group reviewed the literature to propose detailed approaches for the evaluation and management of buccodental status in patients with valvular disease. Simple questions asked by a non-dental specialist may draw attention to buccodental diseases...
August 2017: Archives of Cardiovascular Diseases
Marie Österberg, Anders Holmlund, Bo Sunzel, Sofia Tranæus, Svante Twetman, Bodil Lund
OBJECTIVES: The aim of this study was to evaluate available knowledge and identify knowledge gaps within the field of oral and maxillofacial surgery, by systematically collecting and evaluating systematic reviews. Twelve specific domains were selected: surgical removal of teeth, antibiotic and corticosteroid prophylaxis, orofacial infections, dental and facial trauma, orthognathic surgery, reconstructive surgery, benign tumors, cysts, premalignant lesions, oral complications of treatment of malignant tumors, hyperbaric oxygen therapy, temporomandibular joint surgery, cost effectiveness of different surgical treatments, and ethics...
January 2017: International Journal of Technology Assessment in Health Care
Tao Li, Na Wang, Su Chen, Ran Lu, Hongyi Li, Zhenting Zhang
Prevention of implant-associated infections at an early stage of surgery is highly desirable for the long-term efficacy of implants in dentistry and orthopedics. Infection prophylaxis using conventional antibiotics is becoming less effective due to the development of bacteria resistant to multiple antibiotics. An ideal strategy to conquer bacterial infections is the local delivery of antibacterial agents. Therefore, antimicrobial peptide (AMP) eluting coatings on implant surfaces is a promising alternative...
2017: International Journal of Nanomedicine
Hemchand Surapaneni, Pallavi Samatha Yalamanchili, Md Hafeez Basha, Sushma Potluri, Nirupa Elisetti, M V Kiran Kumar
The routine use of antibiotics in oral implant treatment seems to be widespread. The pre- or post-operative use of antibiotics in conjunction with implant surgery and its correlation with failure and success rates are poorly documented in the literature. The debate regarding overprescription of antibiotics raises the need for a critical evaluation of proper antibiotic coverage in association with implant treatment. The benefits of prophylactic antibiotics are well-recognized in dentistry. However, their routine use in the placement of endosseous dental implants remains controversial...
October 2016: Journal of Pharmacy & Bioallied Sciences
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...
February 22, 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
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