Journal: Drug Invention Today

Article Id: JPRS-Pcol-00002648
Title: Choice of antibiotics in the management of dentoalveolar abscess among dental practitioners
Category: Pharmacology
Section: Research Article
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    Introduction: Dentoalveolar abscess is infections of dental origin, the majority with an endodontic or a periodontal pocket origin. An antibiotic plays a major role in limiting the spread of infection. It is found that variety of dosage, frequency, and duration for antibiotics used in the treatment of dental infection. Dentoalveolar abscess is an abscess around the root of a tooth in the alveolar cavity. It is usually the result of necrosis and infection of dental pulp following dental caries. The formation and accumulation of pus in a tooth socket or the jawbone form around the base of a tooth. Aim: The aim of the study is to assess the choice of antibiotics used among the dental practitioners for the management of dentoalveolar abscess. Materials and Methods: The aim is to investigate the knowledge of dental practitioners about therapeutic prescribing of antibiotics in the management of dentoalveolar abscess. A questionnaire study was performed on 100 dental practitioners. A self-administered validated semi-structured questionnaire to assess the antibiotic prescribing patterns among dental practitioners utilized in this study and the first three sections were used. The questionnaire composed of three sections. The demographic information regarding gender, principle work role, working experience, and being general or specialized dentist was sought first. The second section of the questionnaire was composed of a table to record: The first choice of antibiotic for the treatment of dentoalveolar abscess. The third section contained questions regarding therapeutic antibiotic prescriptions for various clinical signs. A questionnaire describes about clinical signs are elevated temperature and evidence of systemic spread; localized fluctuant swelling; gross swelling; restricted mouth opening; difficulty in swallowing; and closure of the eye due to swelling. It also explored about an antibiotic prescription. This would be a reason for prescribing antibiotics. The practitioners were asked to state the antibiotic they would prescribe, its dose, interval, and duration, for patients who were not allergic to penicillin. A practitioner was also asked what antibiotic they would choose if the patient was allergic to penicillin for the management of dentoalveolar abscess. Data entry and analysis were done. Results: The questionnaire was distributed to 100 dental surgeons and questionnaires were received back from the respondents. The respondents consisted of 49 males and 51 female dentists. Amoxicillin is the antibiotic of choice for dentoalveolar abscess without known allergy with the percentage of 45% and clindamycin is an antibiotic of choice for dentoalveolar abscess with known allergy to penicillin with the percentage of 46%. Conclusion: Results of this study demonstrate that majority of the surveyed dentists prescribe antibiotics for dentoalveolar abscess and their clinical sign, where local management would be sufficient. It is also highlighted that there is a need of developing guidelines regarding antibiotic prescription by the regulatory bodies based on available literature for development and regulating appropriate use of antibiotics.

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    Author(s) Name:

    M. Dhanvanth1 , Dhanraj Ganapathy2 , Ashish. R. Jain2 *

    Affiliation(s) Name:

    1 Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technicral Sciences, Saveetha University, Chennai, Tamil Nadu, India,

    2 Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India

    *Corresponding author: Dr. Ashish R. Jain, Department of Prosthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Poonamalle High Road, Chennai - 600 127, Tamil Nadu, India

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    Author:

    M. Dhanvanth1 , Dhanraj Ganapathy2 , Ashish. R. Jain2 *

    Title:Choice of antibiotics in the management of dentoalveolar abscess among dental practitioners
    Journal:Drug Invention Today
    Vol(issue):10 (December)
    Year:2018
    Page No: (2390-2394)
  • Experimental Methods Keywords

    Methodology:A questionnaire study
    Research Materials:Antibiotics

Keywords

Antibiotics Clinical features Complications Dentoalveolar abscess Management of dentoalveolar abscess

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