Antibiotic prescribing practices by dentists: a review

Abstract

Antibiotics are prescribed by dentists for treatment as well as prevention of infection. Indications for the use of systemic antibiotics in dentistry are limited, since most dental and periodontal diseases are best managed by operative intervention and oral hygiene measures. However, the literature provides evidence of inadequate prescribing practices by dentists, due to a number of factors ranging from inadequate knowledge to social factors. Here we review studies that investigated the pattern of antibiotic use by dentists worldwide. The main defects in the knowledge of antibiotic prescribing are outlined. The main conclusion is that, unfortunately, the prescribing practices of dentists are inadequate and this is manifested by over-prescribing. Recommendations to improve antibiotic prescribing practices are presented in an attempt to curb the increasing incidence of antibiotic resistance and other side effects of antibiotic abuse.

Keywords: antimicrobial resistance; over-prescribing; penicillin; recommended practice.

Figure 1

Recommended treatment modalities for common inflammatory oral lesions. Notes: *Operative intervention is needed, like filling, root canal treatment, local irrigation, incisional drainage, and oral hygiene measures. **Empirical antibiotic prescribing is needed as an initial treatment. Operative intervention(s) may be initiated on the same visit or later. Oral hygiene measures are mandatory.