SYSTEMIC ANTIMICROBIAL USE BY GENERAL DENTISTS FOR THE TREATMENT OF PULP AND PERIAPICAL PATHOLOGIES OF PULPAL ORIGIN
DOI:
https://doi.org/10.15332/us.v8i2.1170Keywords:
Antimicrobial, pulpal pathology, periapical pathology, endodonticsAbstract
Objective: To describe the habits of systemic antimicrobial use by general dentists in the treatment of pulp and periapical pathology of pulpal origins.
Methods: An observational descriptive cross-sectional study was done; the surveyed population consisted of 150 general dentists living at Bucaramanga city who, through a direct interview, answered a previously validated questionnaire. Information was gathered from different variables of interest related to the use of systemic antimicrobials in the pathologies in question. Descriptive statistics and tests of association between variables (Chi2, t Student p = 0.05) were developed based on the information recollected.
Results: Between 28% and 68.6% of the dentists always use some antimicrobial for pulp pathologies without being indicated. Between 22.7% and 72% of dentists use some type of prophylactic antimicrobial in patients with a systemic condition. Amoxicillin was the most commonly used antibiotic in all cases. Administration schemes of antimicrobials attended the established recommendations for the treated cases.
Conclusion: A high proportion of general dentists in Bucaramanga use systemic antimicrobials in the treatment of pulp and periapical pathology of pulpal origins even if not indicated.
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References
Walton RE, Torabinejad M. Endodoncia Principios y Práctica Clínica. 2da. Edición. Philadelphia. Interamericana McGraw-Hill; 1997.
Zadik Y, Levin L. Clinical decision making in restorative dentistry endodontics and antibiotic prescription. J Dent Educ [en línea] Jan 2008. [Fecha de acceso: marzo de 2008]; 72: 81 – 86. URL disponible en: http://www.jdentaled.org/cgi/content/full/72/1/81.
Yingling NM, Byrne BE, Heartwell GR. Antibiotic use by members of the American Association of Endodontics in the year 2000: Report of a National Survey. J Endod 2002; 28: 396 – 404.
Rodríguez H, Solar O. Uso indiscriminado de tetraciclina en afecciones bucales de origen odontológico. Rev Cub Estomatol [en línea]; 2007 [Fecha de acceso: marzo de 2008]; 44 (1). URL disponible en: http://scielo.sld.cu/scielo.php?.
Ensinas P. Análisis de los hábitos de medicación antibiótica por parte de odontólogos generales ante diferentes patologías populares [en línea] 2007. [Fecha de acceso: marzo 30 de 2008]. URL disponible en: http://carlosboveda.com/englishsite/dentalguest.htm.
Tobón F. Estudio sobre automedicación en la Universidad de Antioquia. Latreia (Medellín). Diciembre 2002; 15: 242 – 247.
Pérez H. Farmacología y Terapéutica Odontológica. 2da. Ed. Bogotá: Celsus, 2005.
Caviedes J, Estévez MC, Rojas PA. Antibióticos en el manejo de las infecciones odontogénicas de origen endodóntico [en línea] 2006. [Fecha de acceso: abril de 2008]. Artículos de Revisión Posgrado de Endodoncia. URL disponible en: http://www.javeriana.edu.co/academiapgendodoncia/i_a_revision18.html.
Cabrera CE, Gómez RE, Zúñiga AE. La resistencia de bacterias a antibióticos, antisépticos y desinfectantes una manifestación de los mecanismos de supervivencia y adaptación. Colombia Med 2007; 38: 149 – 158.
Ingle J. Endodoncia. 5ta. Ed. Mexico: McGraw Hill, 2004.
Sigurdsson A. Pulpal diagnosis. Endod Topics 2003; 5: 12 – 25.
Gatewood RS, Himel VT, Dorn SO. Treatment of endodontic emergency: a decade later. J Endod 1990; 16: 284 – 291.
Whitten BH, Gardiner DL, Jeansonne BG, Lemon RR. Current trends in endodontics treatment-report of a national survey. J Am Dent Assoc 1996; 127: 1333 – 1341.
Milian VPM, Quiros EM, Boza MD, Santos PN, Martín AC. Caracterización del uso de antimicrobianos en las infecciones estomatológicas en un área de salud de Cuba. Int J Odontostomat 2007; 1: 177 – 184.
Abbot PV, Hume W, Pearman JW. Antibiotics and endodontics. Aust Dent J 1990; 35: 50 – 60.
Sutherland S. Antibiotics do not reduce toothache caused by irreversible pulpitis. Are systematic antibiotics effective in providing pain relief in people who have irreversible pulpitis? Evid Based Dent 2005; 6: 67.
Fica A. Manejo de la faringoamigdalitis estreptocócica en pacientes adultos o adolescentes. Rev Chil Infect 2002; 19: 79 – 91.
Fouad AF. Are antibiotics effective for endodontic pain? An evidence based review. Endod Topics 2002; 3: 52 – 66.
Fayad I. Presencia de microorganismos productores de Betalactamasa en dientes con periodontitis apical crónica supurativa. Revista Federación Odontológica Colombiana 2005; 25: 15 – 22.
Dumsha T, Gutmann J. Problems in Managing Endodontic Emergencies. En: Gutmann J, Dumsha T, Lovdahl P, Hovland E. Problem Solving in Endodontics: Prevention, Identification and Management. 2da. Ed. St. Louis: Mosby 1998. p. 174 – 189, p. 229 – 252.
Planells del Pozo P, Barra Soto MJ, Antibiotic prophylaxis in pediatric odontology. An update. Medicina Oral, Patología Oral y Cirugía Bucal 2006; 11: 352 – 357.
Retana AG. Protocolo de atención odontológica en pacientes con trastornos hematológicos. Revista Rhombus. 2007; 3.
Brincat M, Savarrio L, Saunders W. Endodontics and infective endocarditis – is antimicrobial chemoprophylaxis required? Int Endod J 2006; 39: 671 – 682.
Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al. 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 on 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 Ame Dent Assoc 2007; 138: 739 – 745, 747 – 760.
Singh J. Antibiotic prophylaxis for endocarditis: time to reconsider. Aus Dent J Medications Supplement 2005; 50: 60 – 68.
