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Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth

Author

Listed:
  • Maria Contaldo

    (Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy)

  • Francesco D’Ambrosio

    (Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy)

  • Giuseppe A. Ferraro

    (Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy)

  • Dario Di Stasio

    (Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy)

  • Maria Pia Di Palo

    (Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy)

  • Rosario Serpico

    (Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy)

  • Michele Simeone

    (Department of Neuroscience, Reproductive Science and Dentistry, University of Naples Federico II, 80138 Naples, Italy)

Abstract

Antibiotics have undoubtedly revolutionized medicine and the health and survival of patients with life-threatening infections, being nonetheless free from potential adverse effects, and the risk of intestinal dysbiosis, antimicrobial resistance, and the resulting consequences for the patient’s health and the public purse. The present study narratively reviewed the epidemiological data on worldwide antibiotic consumption and administration in dental practice, patients’ adherence to prescriptions, the antimicrobial resistance phenomenon in dentistry, and the evidence supporting and recommending appropriate antibiotic use in dental care. Eligible systematic reviews and original studies in humans published in the English language from January 2000 to 26 January 2023 were considered. A total of 78 studies, 47 on the epidemiology of antibiotic use and prescription in dentistry, 6 on antibiotic therapy in dentistry, 12 on antibiotic prophylaxis in dentistry, 0 on adherence of dental patients to antibiotic prescription, and 13 on antimicrobial resistance in dentistry, were presently considered. Retrieved evidence revealed that antibiotics are frequently overused and misused in dental practice, dental patients frequently do not adhere to prescriptions, and antimicrobial resistance in dentistry is a still rising phenomenon also secondary to improper oral antiseptics use. The present findings highlighted the need to establish more evidence-based and accurate antibiotic prescriptions to sensitize dentists and dental patients to minimize and rationalize the use of antibiotics only when it is indicated and necessary, improve patients’ adherence, and enhance knowledge and awareness of the antimicrobial resistance in dentistry.

Suggested Citation

  • Maria Contaldo & Francesco D’Ambrosio & Giuseppe A. Ferraro & Dario Di Stasio & Maria Pia Di Palo & Rosario Serpico & Michele Simeone, 2023. "Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth," IJERPH, MDPI, vol. 20(11), pages 1-31, June.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:11:p:6025-:d:1161613
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    References listed on IDEAS

    as
    1. Jan Schmidt & Martina Kunderova & Nela Pilbauerova & Martin Kapitan, 2021. "A Review of Evidence-Based Recommendations for Pericoronitis Management and a Systematic Review of Antibiotic Prescribing for Pericoronitis among Dentists: Inappropriate Pericoronitis Treatment Is a C," IJERPH, MDPI, vol. 18(13), pages 1-24, June.
    2. Mitchell L. Cohen, 2000. "Changing patterns of infectious disease," Nature, Nature, vol. 406(6797), pages 762-767, August.
    3. Federica Di Spirito & Alessandra Amato & Maria Pia Di Palo & Maria Contaldo & Francesco D’Ambrosio & Roberto Lo Giudice & Massimo Amato, 2022. "Oral Lesions Following Anti-SARS-CoV-2 Vaccination: A Systematic Review," IJERPH, MDPI, vol. 19(16), pages 1-18, August.
    4. Pagaporn Pantuwadee Pisarnturakit & Sireerat Sooampon & Sutti Sooampon, 2020. "Managing knowledge for health care quality: An investigation of rational antibiotic use among Thai dentists," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(2), pages 606-613, March.
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