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. 2020 Sep 27;6(1):66.
doi: 10.1186/s40729-020-00252-4.

Antibiotic prescribing habits of the clinicians dealing with dental implant surgery in Turkey: a questionnaire study

Gül Merve Yalcin-Ülker  1 , Merve Cakir  2 , Deniz Gökce Meral  3
Affiliations

Antibiotic prescribing habits of the clinicians dealing with dental implant surgery in Turkey: a questionnaire study

Gül Merve Yalcin-Ülker et al. Int J Implant Dent. .

Abstract

Purpose: Although various prophylactic and/or postoperative systemic antibiotic regimens have been suggested to minimize failure after dental implant placement and postoperative infection, the role of antibiotics in implant dentistry is still controversial. The purposes of this questionnaire study were to determine the current antibiotic prescribing habits of clinicians in conjunction with dental implant placement and to understand whether any consensus has been reached among implant surgery performing clinicians.

Methods: An electronic questionnaire was sent by electronic mail to all members of the Turkish Dental Society. The questions were related to whether antibiotics were routinely prescribed either pre- or/and postoperatively during routine dental implant placement. The respondents were also asked to specify their workplace and education. The results were analyzed using SPSS software. Descriptive and chi-square analyses were used to compare categorical data; Kruskal-Wallis test was used to compare the quantitative data by category.

Results: A total of 429 members responded to the questionnaire. The clinicians having more experience had a greater tendency to prescribe preoperative antibiotics (p < 0.001), but there was no statistically significant difference between the postoperative antibiotic prescription choice of the clinician according to the clinicians' experience (p > 0.05). A total of 175 of the clinicians preferred to prescribe preoperative antibiotics when there was systemic comorbidity; 99 of the clinicians preferred to prescribe antibiotics before every implant surgery. The aminopenicillins were the most commonly prescribed antibiotics by the clinicians. A total of 38.58% of the respondents (n = 130) who were prescribing preoperative antibiotics, 2000 mg aminopenicillin was given 1 h before the surgical procedure. Dentists and solo private practitioners were prescribing more preoperative antibiotics (p < 0,05).

Conclusions: There was no consensus among clinicians regarding the use of antibiotics in association with routine dental implant placement. Aminopenicillins were the most commonly prescribed antibiotics for both pre- and postoperatively. Furthermore, most of the antibiotic regimens being used are not in accordance with the current published data.

Keywords: Antibiotic prescription; Implant dentistry; Postoperative; Preoperative; Prophylaxis; Questionnaire study.

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Conflict of interest statement

Gül Merve Yalcin-Ülker, Merve Cakir, and Deniz Gökce Meral declare that they have no competing interests.

References

    1. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR, et al. Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol. 1988;59(5):287–296. doi: 10.1902/jop.1988.59.5.287. - DOI - PubMed
    1. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology. Eur J Oral Sci. 1998;106(1):527–551. doi: 10.1046/j.0909-8836..t01-2-.x. - DOI - PubMed
    1. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res. 2000;11(Suppl 1):146–155. doi: 10.1034/j.1600-0501.2000.011S1146.x. - DOI - PubMed
    1. Quirynen M, De Soete M, van Steenberghe D. Infectious risks for oral implants: a review of the literature. Clin Oral Implants Res. 2002;13(1):1–19. doi: 10.1034/j.1600-0501.2002.130101.x. - DOI - PubMed
    1. Romandini M, De Tullio I, Congedi F, Kalemaj Z, D'Ambrosio M, Laforí A, et al. Antibiotic prophylaxis at dental implant placement: which is the best protocol? A systematic review and network meta-analysis. J Clin Periodontol. 2019;46(3):382–395. doi: 10.1111/jcpe.13080. - DOI - PubMed

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