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Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars

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Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars

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dc.contributor.author Arteagoitia Calvo, María Iciar es
dc.contributor.author Ramos, Eva es
dc.contributor.author Santamaría Arrieta, Gorka es
dc.contributor.author Álvarez Amezaga, Julio es
dc.contributor.author Barbier Herrero, Luis es
dc.contributor.author Santamaría Zuazua, Joseba Andoni es
dc.date.accessioned 2016-04-06T12:32:23Z
dc.date.available 2016-04-06T12:32:23Z
dc.date.issued 2016 es
dc.identifier.citation Arteagoitia Calvo, María Iciar ; Ramos, Eva ; Santamaría Arrieta, Gorka ; Álvarez Amezaga, Julio ; Barbier Herrero, Luis ; Santamaría Zuazua, Joseba Andoni. Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2016, Vol. 21, No. 1: 82- es
dc.identifier.uri http://hdl.handle.net/10550/52021
dc.description.abstract Background: This study explored the attitude of registered dentists in Biscay towards prescribing antibiotics and/ or antiseptics to prevent potential infections after surgical extraction of completely bone-impacted third molars in otherwise healthy individuals, with no history of infection. Material and Methods: We sent letters to 931 registered dentists in Biscay, with an explanation of the study objectives, description of a case of lower third molar impaction, including a panoramic radiograph, and a questionnaire. The questionnaire asked whether they would prescribe antibiotics and/or antiseptics, in the hypothetical case of lower third molar extraction surgery presented, and if so, when, what type, at what dose and how long for. Results: The questionnaire was completed by 261 dentists (28%), with a mean age of 44.3 years old (SD 11.05) and mean of 18.7 years working as a dentist (SD 9). A total of 216 dentists (82.7%) considered it necessary to prescribe antibiotics. Of these, 126 (58.3%) would prescribe amoxicillin and 74 (34.5%) amoxicillin/clavulanic acid, while 129 dentists (59%) would prescribe antibiotics both before and after surgery and 10 (4.6%) only after surgery. The most common doses were amoxicillin 500 mg or 750 mg every 8 hours, and amoxicillin/clavulanic acid 875/125 mg every 8 hours, in both cases for a mean of 7 days. Further, 74 dentists (28%) said they would use immediate post-extraction socket irrigation with chlorhexidine, while 211 (81%) would prescribe antiseptics in the postoperative period, of whom 97% recommended chlorhexidine. We did not find significant differences in the use of antibiotics or antiseptics by dentist age (ANOVA p=0.22 and p=0.53, respectively), or professional experience (ANOVA p=0.45 and p=0.62). Conclusions: In our sample, the prophylactic prescription of antibiotics and/or chlorhexidine is widespread in clinical practice, in most cases amoxicillin and amoxicillin/clavulanic acid for a week, starting the treatment before surgery. en_US
dc.relation es
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES

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