M Martín-Jiménez1, B Martín-Biedma2, J López-López3, O Alonso-Ezpeleta4, E Velasco-Ortega5, M C Jiménez-Sánchez1, J J Segura-Egea1. 1. Department of Endodontics, School of Dentistry, University of Sevilla, Sevilla, Spain. 2. Department of Endodontics, School of Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain. 3. Department of Oral Medicine, School of Medicine and Dentistry, University of Barcelona, Barcelona, Spain. 4. Department of Endodontics, School of Dentistry, University of Zaragoza, Zaragoza, Spain. 5. Department of Comprehensive Dentistry, School of Dentistry, University of Sevilla, Sevilla, Spain.
Abstract
AIM: To determine the knowledge of undergraduate Spanish dental students regarding the indications of systemic antibiotics in the management of endodontic infections. METHODOLOGY: The final year dental students from four Spanish dental schools were requested to answer a one-page questionnaire on the indications for systemic antibiotics in the treatment of endodontic infections. One hundred and seventy-five students were asked to participate in this research. Data were analysed using descriptive statistics and chi-square test. RESULTS: One hundred and four students (93.7%) completed satisfactorily the survey and were included in the study. The average duration of antibiotic therapy was 7.0 ± 2.0 days. All respondents chose amoxicillin as the first-choice antibiotic in patients with no medical allergies, alone (47%) or associated with clavulanic acid (53%). The first drug of choice for patients with an allergy to penicillin was clindamycin 300 mg (99%). For cases of irreversible pulpitis, up to 63% of students would prescribe antibiotics. For the scenario of a necrotic pulp, symptomatic apical periodontitis and no swelling, 44% would prescribe antibiotics. Almost 40% of students would prescribe antibiotics for necrotic pulps with asymptomatic apical periodontitis and a sinus tract. CONCLUSIONS: It is necessary for the Spanish schools of dentistry to improve students' knowledge about antibiotics and their indications in endodontics. Interactive education analysing real endodontic cases using problem-based learning would help students acquire better skills in prescribing antibiotics in pulp-periapical pathosis.
AIM: To determine the knowledge of undergraduate Spanish dental students regarding the indications of systemic antibiotics in the management of endodontic infections. METHODOLOGY: The final year dental students from four Spanish dental schools were requested to answer a one-page questionnaire on the indications for systemic antibiotics in the treatment of endodontic infections. One hundred and seventy-five students were asked to participate in this research. Data were analysed using descriptive statistics and chi-square test. RESULTS: One hundred and four students (93.7%) completed satisfactorily the survey and were included in the study. The average duration of antibiotic therapy was 7.0 ± 2.0 days. All respondents chose amoxicillin as the first-choice antibiotic in patients with no medical allergies, alone (47%) or associated with clavulanic acid (53%). The first drug of choice for patients with an allergy to penicillin was clindamycin 300 mg (99%). For cases of irreversible pulpitis, up to 63% of students would prescribe antibiotics. For the scenario of a necrotic pulp, symptomatic apical periodontitis and no swelling, 44% would prescribe antibiotics. Almost 40% of students would prescribe antibiotics for necrotic pulps with asymptomatic apical periodontitis and a sinus tract. CONCLUSIONS: It is necessary for the Spanish schools of dentistry to improve students' knowledge about antibiotics and their indications in endodontics. Interactive education analysing real endodontic cases using problem-based learning would help students acquire better skills in prescribing antibiotics in pulp-periapical pathosis.
Authors: Alfonso López-Marrufo-Medina; Laura Domínguez-Domínguez; Daniel Cabanillas-Balsera; Victoria Areal-Quecuty; Isabel Crespo-Gallardo; Mª Carmen Jiménez-Sánchez; José López-López; Juan J Segura-Egea; Jenifer Martin-Gonzalez Journal: J Clin Exp Dent Date: 2022-01-01
Authors: David J Brinkman; Nina Nijland; Denise E van Diermen; Josef J M Bruers; Willianne S M Ligthart; Patrick J Rietveld; Jan Tams; Arjan Vissink; Abraham J Wilhelm; Frederik R Rozema; Jelle Tichelaar; Michiel A van Agtmael Journal: Eur J Oral Sci Date: 2019-12-10 Impact factor: 2.612