scholarly journals Self-declarative Performance of General Dentists in Prescribing Analgesics and Antibiotics for Patients Requiring Root Canal Treatment

Author(s):  
Fatemeh Dibaji ◽  
Reza Yazdani ◽  
Sara Sajadi ◽  
Elahe Mohamadi ◽  
Fatemeh Mohammadian ◽  
...  

Objectives: This study aimed to determine the self-declarative performance of general dentists in prescription of analgesics and antibiotics for patients requiring root canal treatment (RCT). Materials and Methods: In this cross-sectional study, 400 general dentists participating in the 55th International Annual Scientific Congress of the Iranian Dental Association (2015) were randomly selected, and requested to complete a questionnaire about their performance regarding prescribing analgesics and antibiotics for patients requiring RCT. The frequency and percentage of answers to each question were calculated and reported. Results: The most commonly prescribed analgesics included ibuprofen (100.0%), Gelofen (100.0%), Novafen (68.5%) and acetaminophen (24.8%). After RCT, dentists prescribed ibuprofen (100.0%), Gelofen (98.3%), dexamethasone (35.3%), Novafen (27.3%) and acetaminophen/codeine (15.8%) in decreasing order of frequency. Antibiotic prescription was minimum (48.5%) for cases with painful (moderate or severe) irreversible pulpitis (vital tooth) before the treatment and maximum for cases of pulp necrosis with acute apical periodontitis, edema, and preoperative symptoms (moderate or severe) (97.3%). For non-allergic patients, the most frequently prescribed antibiotics were amoxicillin 500 mg (93.3%), cefixime 400 mg (81.3%), amoxicillin/metronidazole 250 mg (71.8%), co-amoxiclav 265 mg (36.3%) and injectable penicillin (0.5%). For allergic patients, dentists prescribed clindamycin 300 mg (84.0%), cephalexin 500 mg (15.8%), azithromycin 500 mg (13.5%), and erythromycin 500 mg (10.8%). Sex and graduation date had no significant effect on the results (P>0.05). Conclusion: Antibiotic prescription is excessive by general dentists, and their performance regarding the proper and logical prescription of antibiotics in RCT should be improved.

2019 ◽  
Vol 53 (4) ◽  
pp. 447-454 ◽  
Author(s):  
M. Murillo‐Benítez ◽  
J. Martín‐González ◽  
M. C. Jiménez‐Sánchez ◽  
D. Cabanillas‐Balsera ◽  
E. Velasco‐Ortega ◽  
...  

Author(s):  
Muhammad Zahid Iqbal ◽  
Fahad I. Al-Saikhan ◽  
Sawri Rajan ◽  
Muhammad Shahid Iqbal

Introduction: Endodontics is the division of dentistry that mainly dealt with the physiology, pathophysiology, pathology and morphology of human dental tissues. The study determined the knowledge among patients who underwent root canal treatment (RCT). Methods: A cross-sectional study was carried among RCT patients visiting various dental clinics. A validated self-administered questionnaire including information related to knowledge about RCT was used to collect required data. Statistical Package for Social Science (SPSS) Version 22.0 was used to analyze the data. Results: Regarding the RCT knowledge, it was revealed that patients with previous RCT history were having better knowledge than patients without RCT history or those who were planning to undergo for RCT procedure (p= <0.001). Differences between smoking status and RCT knowledge were also statistically significant (p=0.048). Conclusion: In conclusion, moderate knowledge was observed among patients who underwent RCT or those who were planning to perform RCT.


2019 ◽  
Vol 10 (11) ◽  
pp. 1250
Author(s):  
Anuj Varshney ◽  
Aditya Shetty ◽  
Mithra N. Hegde ◽  
Shishir Shetty ◽  
Lakshmi Nidhi Rao

2012 ◽  
Vol 19 (05) ◽  
pp. 739-741
Author(s):  
FAISAL - ◽  
SANA SHAH ◽  
NARESH KUMAR ◽  
Syed Abrar Ali ◽  
Nadia Inayat

Objective: To determine the frequency of root canal treatment in endodontic department of dental colleges of Karachi. StudyDesign: Cross-sectional study. Place and duration of study: Department of endodontics, Sir Syed Dental College & Hospital, Karachi from1st May 2011 to 31st August 2011. Material and Methods: Of the 400 teeth from 370 individuals (age range 12-50 years) were endodonticallytreated during four months by faculty members and postgraduate residents enrolled in a specialisation programme in department ofEndodontics. All patients were examined clinically and radiographically. For each case, information was collected in specifically designedproforma including location of the affected tooth, age and gender and reasons for endodontic treatment. Results: Of the 400 treated teeth, 225(56.25%) were mandibular and 175 (43.75%) were maxillary teeth. 236 teeth (59.0%) were from females and 164 (41.0%) from males.Significant differences were found between the maxillary and mandibular arch. Molars and premolars required significantly more frequentendodontic treatment than canines and incisors as revealed in fig.1. The most frequently treated tooth was the mandibular right first molar(9.12%) followed by the mandibular left first molar (7.07%). The mandibular first molar was the most common tooth to undergo endodonticprocedure than maxillary first molar. The most frequently diagnosed pathosis was irreversible pulpitis (44%), pulp necrosis (22%), retreatmentendodontic (17%), elective RCTs (10%) traumatic exposures were (7%) as shown in fig. II. Conclusions: Irreversible pulpitis was the mostfrequent cause of root canal treatment followed by pulp necrosis. Teeth of females required more endodontic treatment than males. The mostfrequent root canals were carried out in mandibular molars than maxillary molars.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam Mohsen Aly ◽  
Marwa Aly Elchaghaby

Abstract Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.


2021 ◽  
pp. 014556132110001
Author(s):  
Daniel J. Lee ◽  
Daniella Daliyot ◽  
Ri Wang ◽  
Joel Lockwood ◽  
Paul Das ◽  
...  

Objective: To directly compare the prevalence of chemosensory dysfunction (smell and taste) in geographically distinct regions with the same questionnaires. Methods: A cross-sectional study was performed to evaluate the self-reported symptoms among adults (older than 18 years) who underwent COVID-19 testing at an ambulatory assessment center in Canada and at a hospital in Israel between March 16, 2020, and August 19, 2020. The primary outcome was the prevalence of self-reported chemosensory dysfunction (anosmia/hypomsia and dysgeusia/ageusia). Subgroup analysis was performed to evaluate the prevalence of chemosensory deficits among the outpatients. Results: We identified a total of 350 COVID-19–positive patients (138 Canadians and 212 Israelis). The overall prevalence of chemosensory dysfunction was 47.1%. There was a higher proportion of chemosensory deficits among Canadians compared to Israelis (66.7% vs 34.4%, P < .01). A subgroup analysis for outpatients (never hospitalized) still identified a higher prevalence of chemosensory dysfunction among Canadians compared to Israelis (68.2% vs 36.1%, P < 0.01). A majority of patients recovered their sense of smell after 4 weeks of symptom onset. Conclusion: Although the prevalence of chemosensory deficit in COVID-19 was found to be similar to previously published reports, the prevalence can vary significantly across different geographical regions. Therefore, it is important to obtain regionally specific data so that the symptom of anosmia/dysgeusia can be used as a guide for screening for the clinical diagnosis of COVID-19.


2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
MawadahM Magadmi ◽  
RaniaM Magadmi ◽  
FatemahO Kamel ◽  
MagdaM Hagras ◽  
HwraaI Alhmied ◽  
...  

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0120930 ◽  
Author(s):  
H. Hoofs ◽  
N. W. H. Jansen ◽  
D. C. L. Mohren ◽  
M. W. J. Jansen ◽  
I. J. Kant

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