Skip to main content

Advertisement

Log in

Current Trend of Antimicrobial Prescription for Oral Implant Surgery Among Dentists in India

  • Research Paper
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objectives

The aim of our study was to evaluate antimicrobial prescription behaviour amongst dentists performing oral implant surgery in India.

Study Design

Dentists performing oral implant surgery from different parts of India were personally approached during various national events such as conferences and academic meetings and information regarding their prescription habits for antimicrobial agents in routine oral implant surgery was collected using a structured questionnaire.

Results

Out of a total sample of 332 dentists, 85.5 % prescribed 17 different groups or combinations of antibiotics routinely for oral implant surgery in the normal healthy patient. Majority preferred the peri-operative protocol of drug therapy (72.2 %) with variable and prolonged duration of therapy after surgery, ranging from 3 to 10 days. An antimicrobial mouthwash was routinely prescribed by all the doctors (14.5 %) not in favour of prescribing antimicrobials in a normal healthy patient.

Conclusions

Our findings suggest that there is a trend of antimicrobial agent misuse by dentists performing oral implant surgery in India, both in terms of drugs used and the protocols prescribed. The majority of these dentists prescribed a variety of antimicrobial agents for prolonged durations routinely even in the normal, healthy patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Weed HG (2003) Antimicrobial prophylaxis in the surgical patient. Med Clin N Am 87:59–75

    Article  CAS  PubMed  Google Scholar 

  2. Munckhof W (2005) Antibiotics for surgical prophylaxis. Aust Prescr 28:38–40

    Google Scholar 

  3. Gutierrez JL, Bagán JV, Bascones A, Llamas R et al (2006) Consensus document on the use of antibiotic prophylaxis in dental surgery and procedures. Av Odontoestomatol 22(1):69–94

    Article  Google Scholar 

  4. Sweeny LC, Dave J, Chambers PA, Heritage J (2004) Antibiotic resistance in general dental practice—a cause for concern? J Antimicrob Chemother 53:567–576

    Article  Google Scholar 

  5. Martin MV (2010) Antimicrobials and dentistry: a rationale for their use. Faculty Dent J 1(1):15–19

    Article  Google Scholar 

  6. Escobar JIS, de Velasco ADAF (2006) Antibiotic prophylaxis in oral and maxillofacial surgery. Med Oral Patol Oral Cir Bucal 11:292–296

    Google Scholar 

  7. Vera JRM, Centelles MLG (2007) Antimicrobial prophylaxis in oral surgery and dental procedures. Med Oral Patol Oral Cir Bucal 12:44–52

    Google Scholar 

  8. Roda RP, Jimenez Y, Carbonell E, Gavalda C, Munoz MM, Perez GS (2008) Bacteremia originating in the oral cavity. A review. Med Oral Patol Oral Cir Bucal 13(6):355–362

    Google Scholar 

  9. American Dental Association; American Academy of Orthopaedic Surgeons (2003) Advisory statement: antibiotic prophylaxis for dental patients with total joint replacements. J Am Dent Assoc 134:895–899

    Article  Google Scholar 

  10. CDA position on antibiotic prophylaxis for dental patients at risk (2005). Canadian Dental Association http://www.cda-adc.ca/_files/position_statements/antiobiotic_prophylaxis.pdf

  11. Wilson W, Taubert KA, Gewitz M et al (2008) Prevention of infective endocarditis—guidelines from the American heart association. A guideline from the American heart association rheumatic fever, endocarditis and kawasaki disease committee, council in cardiovascular disease in the young and the council on clinical cardiology, council on cardiovascular surgery and anesthesia, and the quality of care and outcomes research interdisciplinary working group. J Am Dent Assoc 139(Suppl 1):3S–24S

    Article  PubMed  Google Scholar 

  12. Miller C (2010) Decisions and antibiotics use: more questions and some answers. Editorial. Oral Surg Oral Med Oral Path Oral Rad and Endodontol 110(1):1–3

    Google Scholar 

  13. Montazem A (1998) Antibiotic prophylaxis in dentistry. Mt.Sinai J Med 65(5–6):388–392

    CAS  PubMed  Google Scholar 

  14. Hossein K, Dahlin C, Alse’n B (2005) Influence of different prophylactic antibiotic regimens on implant survival rate: a retrospective clinical study. Clin Implant Dent Relat Res 7:32–35

    Article  PubMed  Google Scholar 

  15. Guerrero JS (2008) Use of prophylactic antibiotic therapy in oral surgical procedures: a critical review. J Calif Dent Assoc 36(12):943–950

    PubMed  Google Scholar 

  16. WHO Global Strategy for Containment of Antimicrobial Resistance (2001). World Health Organization http://www.who.int/csr/resources/publications/drugresist/WHO_CDS_CSR_DRS_2001_2_EN/en/

  17. Ghafur AK (2010) An obituary—on the death of antibiotics (editorial). J Assoc Phys India 58:1–3

    Google Scholar 

  18. WHO South East Asia Region Jaipur declaration on Antimicrobial Resistance, World Health Day (2011). Available at: http://www.searo.who.int/LinkFiles/WHDAMR_Jaipur_declaration_.pdf

  19. Albrektsson T, Branemark PI, Hansson HA et al (1981) Osteointegrated titanium implants. Requirements for ensuring a long lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52:155–170

    Article  CAS  PubMed  Google Scholar 

  20. Jokstaad A, Bragger U, Brunski JB, Carr AB, Naert I, Wennerberg A (2003) Quality of dental implants. Int Dent J 53:409–443

    Article  Google Scholar 

  21. Lawler B, Sambrook PJ, Goss AN (2005) Antibiotic prophylaxis for dentoalveolar surgery: is it indicated? Aust Dent J 50(Suppl 2):S54–S59

    Article  CAS  PubMed  Google Scholar 

  22. Bolukbasi N, Ozdemir T, Oksuz L, Gurler N (2012) Bacteremia following dental implant surgery: preliminary results. Med Oral Patol Oral Cir Bucal 17(1):69–75

    Article  Google Scholar 

  23. Ahmad N, Saad N (2012) Effects of antibiotics on dental implants: a Review. J Clin Med Res 4(1):1–6

    PubMed Central  PubMed  Google Scholar 

  24. Esposito M, Worthington HV, Loli V, Coulthard P, Grusovin MG (2010) Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications (Review). Cochrane Database of Systematic Reviews Issue 7. Art. No: CD004152

  25. Palmer NOA, Marin MV, Pealing R, Ireland RS (2000) An analysis of antibiotic prescriptions from general dental practitioners in England. J Antimicrob Chemother 46:1033–1035

    Article  CAS  PubMed  Google Scholar 

  26. Roy KM, Bagg J (2000) Antibiotic prescribing by general dental practitioners in the greater Glasgow health board, Scotland. BDJ 188:674–676

    CAS  PubMed  Google Scholar 

  27. Sermet S, Akgun MA, Atamer-Simsek S (2011) Antibiotic prescribing profile in the management of oral diseases among dentists in Istanbul. J Marmara Univ Inst Health Sci 1(1):35–41

    Google Scholar 

  28. Kamulegeya A, William B, Rwenyonyi CM (2011) Knowledge and antibiotic prescription pattern among Ugandan oral health care providers: a cross-sectional survey. J Dent Res Dent Clin Dent Prospects 5(2):61–66

    PubMed Central  PubMed  Google Scholar 

  29. Laskin DM, Dent CD, Morris HF, Ochi S, Olson JW (2000) The influence of preoperative antibiotics on success of endosseous implants at 36 months. Ann Periodontol 5(1):166–174

    Article  CAS  PubMed  Google Scholar 

  30. Binhamed A, Stoykewych A, Peterson L (2005) Single pre-operative dose versus long-term prophylactic antibiotic regimens in dental implant surgery. Int J Oral Maxillofac Implants 20:115–117

    Google Scholar 

  31. AbuKaraky AE, Afifeh KA, Khatib AA, Khdairi NO, Habarneh HM, Ahmad WKH, Hamadan AAS, Sawair FA (2011) Antibiotics prescribing practices in oral implantology among Jordanian dentists. A cross-sectional, observational study. BMC Res Notes 4:266

    Article  PubMed Central  PubMed  Google Scholar 

  32. Esposito et al (2010) Effectiveness of prophylactic antibiotic at placement of dental implants; a pragmatic multi-center placebo-controlled randomized clinical trial. Eur J Oral Implantol 3(2):1–9

    Google Scholar 

  33. Caiazzo A, Casavecchia P, Barone A, Brugnami F (2011) A pilot study to determine the effectiveness of different amoxicillin regimens in implant surgery. J Oral Implantol 37(6):691–696

    Article  PubMed  Google Scholar 

  34. Classen DC, Evans RS, Pestotnik SL, Horn SD, Menlove RL, Burke JP (1992) The timing of prophylactic administration of antibiotics and the risk of surgical wound infection. N Engl J Med 326(5):281–286

    Article  CAS  PubMed  Google Scholar 

  35. Gynther GW, Kondell PA, Moberg LE, Heimdahl A (1998) Dental implant installation without antibiotic prophylaxis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85(5):509–511

    Article  CAS  PubMed  Google Scholar 

  36. Khoury SB, Thomas L, Walters JD, Sherridan JF, Leblebiciouglu B (2008) Early wound healing following one stage dental implant placement with and without antibiotic prophylaxis: a pilot study. J Periodontol 79(10):1904–1912

    Article  PubMed Central  PubMed  Google Scholar 

  37. Sancho Puchades M, Herraez Vilas JM, Verrini Ayetes L, Gay Escoda C (2009) Antibiotic prophylaxis to prevent local infection in oral surgery: use or abuse? Med Oral Patol Oral Cir Bucal 14(1):28–33

    Google Scholar 

  38. Lambert PM, Morris HF, Ochi S (1997) The influence of 0.12% chlorhexidine digluconate rinses on the incidence of infectious complications and implant success. J Oral Maxillofac Surg 55(12 Suppl 5):25–30

    CAS  PubMed  Google Scholar 

  39. Resnik R, Misch C (2008) Prophylactic antibiotic regimens in oral implantology: rationale and protocol. Implant Dentistry 17(2):142–150

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rahul Datta.

Additional information

Dr. J. S. Batth is a Fellow of the International College of Oral Implantologists.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Datta, R., Grewal, Y., Batth, J.S. et al. Current Trend of Antimicrobial Prescription for Oral Implant Surgery Among Dentists in India. J. Maxillofac. Oral Surg. 13, 503–507 (2014). https://doi.org/10.1007/s12663-013-0567-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-013-0567-7

Keywords

Navigation