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ANTIBIOTIC PROPHYLAXIS HABITS IN ORAL IMPLANT SURGERY AMONG GENERAL DENTISTS IN ITALY: A CROSS-SECTIONAL SURVEY
2nd International Conference on DENTISTRY AND ORAL HEALTH
April 15-16, 2019 | Milan, Italy
Fabio Rodriguez Sanchez
University of the Basque Country, Spain
Posters & Accepted Abstracts : J Clin Dentistry Oral Health
Abstract:
Objectives: To assess the current antibiotic prescribing habits of dentist in Italy in conjunction with routine
oral implant surgery to determine whether any consensus has been reached and recommendations were being
followed.
Material & Methods: Observational cross-sectional study based on a web-survey reported according to the
STROBE guidelines. A validated questionnaire, developed in 2015, was translated and slightly adjusted to circumstances
in Italy. This questionnaire contained both close-ended and some open-ended questions concerning
the following topics: Demographics, antibiotic type, prescription-duration and dosage. One email was sent
in April 2017 to each registered member (n=400) of the Italian Academy of Osseointegration (IAO). The email
included a link to the anonym web questionnaire developed on www.encuestafacil.com. Collected data were
analyzed using Stata 14 software (StataCorp, College Station, Texas, USA)
Results: 160 participants responded the survey (response rate=40%). Of whom, 146 were males (93.6%) and 10
females (6.4%). Most of the dentists were aged between 51 and 60 years old (30.1%) and the majority of them
were graduated at a dental school in Italy (97.4%), the greatest part were graduated at the School of Dentistry
of Milan (26.9%) Approximately 84% routinely prescribed prophylactic antibiotics always in conjunction with
oral implant surgery, 15.6% prescribed antibiotics in certain situations and only one dentist (0.6%) do not prescribe
antibiotics at all. Overall, 116 (72, 3%) respondents prescribed both pre-and postoperative antibiotics,
29 prescribed antibiotics only preoperatively (18.2%) and 14 prescribed antibiotics exclusively after surgery
(8.8%). The most frequently preoperative regimen prescribed was 2gms oral amoxicillin/clavulanic acid one
hour prior surgery (n=60, 41.9%). The most frequently postoperative regimen prescribed was 875/125 mg oral
amoxicillin/clavulanic acid twice daily for 6 days after surgery (n=43, 32.5%). On average, Italian dentists prescribed
a total amount of 10,719 mg antibiotics before, during or after oral implant surgery.
Conclusions: Antibiotic prophylaxis in conjunction with oral implant surgery is prescribed in Italy on a rather
large scale. A large range of prophylactic regimens is prescribed, which shows a huge variety on the choice
made by dentists. Besides, recommendations based on last-published evidence are frequently not being followed.
Biography:
Fabio Rodríguez Sánchez is a PhD student from the University of the Basque Country (UPV/EHU). He is a general dental practitioner working in the Netherlands. He has published at least than three papers in reputed journals and is actively collaborating with the Royal Dutch Dental Association (KNMT) and the Italian Academy of Osseointegration (IAO).
E-mail: rs.fabio8@gmail.com
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