Antibiotics in Periodontal Disease Management among Periodontists and Nonperiodontists in South India; the Value of Continuing Education in Dentistry: A Cross-sectional Study
Citation Information :
Ramesh KS, Anusha B, Sruthima GN, Pasupuleti MK, Swetha P, Vivek B, Keerthi V. Antibiotics in Periodontal Disease Management among Periodontists and Nonperiodontists in South India; the Value of Continuing Education in Dentistry: A Cross-sectional Study. World J Dent 2023; 14 (8):716-721.
Aim: To assess the antibiotic prescription pattern for periodontal conditions among periodontists and nonperiodontists in South India.
Materials and methods: This cross-sectional, observational study included 1,000 responses obtained from periodontists to nonperiodontists in South India using an online self-reported questionnaire, adopting a snowball sampling technique. Chi-squared test was used to analyze the data. A p-value of <0.05 was considered statistically significant.
Results: Around 96.2% of clinicians keep themselves updated by reading the latest scientific material/attending continuing dental education (CDE). A total of 39.1% of clinicians do not follow combination antibiotic therapy to treat any periodontal disease. About 90.8% of clinicians have opted for mechanical instrumentation in conjunction with antimicrobial therapy for the initial treatment for aggressive periodontitis, and 92.6% preferred doxycycline 100 mg twice daily, followed by 100 mg once daily.
Conclusion: This study suggests strengthening antibiotic prescribing knowledge through attending CDE programs and establishing antibiotic prescription guidelines in periodontology is necessary.
Clinical significance: Systemic antimicrobial agents are a crucial therapeutic approach in the management of periodontal diseases, but the decision is mostly based on the clinician's personal experience.
Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of periodontal and peri-implant diseases and conditions. J Periodontol 2018;89 Suppl 1:S173–S182. DOI: 10.1002/JPER.17-0721
Mahuli SA, Zorair AM, Jafer MA, et al. Antibiotics for periodontal infections: biological and clinical .perspectives J Contemp Dent Pract 2020;21(4):372–376. PMID: 32584271.
van Winkelhoff AJ, Rams TE, Slots J. Systemic antibiotic therapy in periodontics. Periodontol 2000 1996;10:45–78. DOI: 10.1111/j.1600-0757.1996.tb00068.x
Loos BG, Van Dyke TE. The role of inflammation and genetics in periodontal disease. Periodontol 2000 2020;83(1):26–39. DOI: 10.1111/prd.12297
Hammami C, Nasri W. Antibiotics in the treatment of periodontitis: a systematic review of the literature. Int J Dent 2021;2021:6846074. DOI: 10.1155/2021/6846074
Karobari MI, Khijmatgar S, Bhandary R, et al. A multicultural demographic study to analyze antibiotic prescription practices and the need for continuing education in dentistry. Biomed Res Int 2021;2021:5599724. DOI: 10.1155/2021/5599724
Shaikh HFM, Patil SH, Pangam TS, et al. Polymicrobial synergy and dysbiosis: an overview. J Indian Soc Periodontol 2018;22(2):101–106. DOI: 10.4103/jisp.jisp_385_17
Lang NP, Lindhe J. Clinical Periodontology and Implant Dentistry. 7th ed. John Wiley & Sons; 2015.
Vardhan TH, Lakhshmi NV, Haritha B. Exploring the pattern of antibiotic prescription by dentists: a questionnaire-based study. J NTR Univ Health Sci 2017;6(3):149–153. DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_30_17
Hamdoun R, Chala S, Ennibi OK. Knowledge, attitude, and practice of dental practitioners regarding antibiotic prescribing for aggressive periodontitis in Morocco. J Int Oral Health 2019;11(3):141–147. DOI: 10.4103/jioh.jioh_73_19
Al Khuzaei NM, Assery MK, Al Rahbeni T, et al. Knowledge of antibiotics among dentists in Saudi Arabia. J Int Oral Health 2017;9(2):71–80. DOI: 10.4103/0976-7428.203634
Alzouri SS, Aldawood E, Aljuzair BH, Alsaeed M, Mahabob MN. Knowledge and practice of antibiotic prescription by dentists for management of eases in Eastern Province, Saudi Arabia: A cross-sectional studyoral disJ Int Oral Health. . 2020;12(3):213–220. DOI: 10.4103/JIOH.JIOH_130_19
Kuriyama T, Absi EG, Williams DW, et al. An outcome audit of the treatment of acute dentoalveolar infection: impact of penicillin resistance. Br Dent J 2005;198(12):759–763; discussion 754; quiz 778. DOI: 10.1038/sj.bdj.4812415
Al-Mubarak S, Al-Nowaiser A, Rass MA, et al. Antibiotic prescription and dental practice within Saudi Arabia; the need to reinforce guidelines and implement specialty needs. J Int Acad Periodontol 2004;6(2):47–55.
Oberoi SS, Dhingra C, Sharma G, et al. Antibiotics in dental practice: how justified are we. Int Dent J 2015;65(1):4–10. DOI: 10.1111/idj.12146
Narayan S, Rajasekar A. Antibiotic regime followed in periodontal therapy: a retrospective study. J Complement Med Res 2020;11(4):163–171. DOI: 10.5455/jcmr.2020.11.04.21
Kapoor A, Malhotra R, Grover V, et al. Systemic antibiotic therapy in periodontics. Dent Res J (Isfahan) 2012;9(5):505–515. DOI: 10.4103/1735-3327.104866
Herrera D, Sanz M, Jepsen S, et al. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. J Clin Periodontol 2002;29 Suppl 3:136–159. DOI: 10.1034/j.1600-051x.29.s3.8.x
Agossa K, Sy K, Mainville T, et al. Antibiotic use in periodontal therapy among French dentists and factors which influence prescribing practices. Antibiotics (Basel) 2021;10(3): DOI: 10.3390/antibiotics10030303
Slots JResearch, Science and Therapy Committee, . Systemic antibiotics in periodontics. J Periodontol 2004;75(11):1553–1565. DOI: 10.1902/jop.2004.75.11.1553
Andere NMRB, Castro Dos Santos NC, Araujo CF, et al. Clarithromycin as an adjunct to one-stage full-mouth ultrasonic periodontal debridement in generalized aggressive periodontitis: a randomized controlled clinical trial. J Periodontol 2017;88(12):1244–1252. DOI: 10.1902/jop.2017.170165
Belibasakis GN, Thurnheer T. Validation of antibiotic efficacy on in vitro subgingival biofilms. J Periodontol 2014;85(2):343–348. DOI: 10.1902/jop.2013.130167