Department of Dental and Oral Pathology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, 50028 Kaunas, Lithuania.
Medicina (Kaunas). 2010;46(12):806-13.
To describe a pattern of antibiotic prescription during root canal treatment procedures based on the reports of Lithuanian general dental practitioners.
Questionnaires concerning endodontic treatment were sent to all 2850 Lithuanian dental practitioners registered on the database of the Lithuanian Dental Chamber. Only the questions containing general information and individual decisions about antibiotic prescription for endodontic treatment were selected for the analysis.
The response rate was 53.8%. Of the 1532 responses, 1431 questionnaires received from licensed general dental practitioners were analyzed. More than 60% of the respondents reported prescribing antibiotics in cases of symptomatic apical periodontitis. Majority of the respondents (83.9%) reported symptomatic apical periodontitis with periostitis being a clear indication for the prescription of antibiotics. Nearly 2% of the respondents reported prescribing antibiotics in cases of symptomatic pulpitis. With an increasing duration of professional activity, an increase in the proportion of the respondents reporting prescription of antibiotics was observed. Amoxicillin was the most preferable antibiotic during endodontic treatment, followed by amoxicillin with clavulanic acid. An increase in reporting penicillin prescription and decline in prescribing amoxicillin and amoxicillin with clavulanic acid with regard to the increasing age of respondents was observed.
Lithuanian dentists, particularly those with longer duration of professional activity, tended to exceed general recommendations for the antibiotics prescription in cases of endodontic infections. However, a trend toward prescription of broader spectrum antibiotics by younger dentists, compared with those with longer professional activity, was observed.
描述立陶宛普通牙医在根管治疗过程中开具抗生素处方的模式。
向立陶宛牙科协会数据库中注册的所有 2850 名牙科医生发送了有关牙髓治疗的调查问卷。仅选择包含一般信息和根管治疗抗生素处方个人决策的问题进行分析。
回复率为 53.8%。在 1532 份回复中，分析了从获得许可的普通牙科医生处收到的 1431 份调查问卷。超过 60%的受访者报告在有症状的根尖周炎病例中开具抗生素。大多数受访者（83.9%）报告有症状的根尖周炎伴骨膜炎是开具抗生素的明确指征。近 2%的受访者报告在有症状的牙髓炎病例中开具抗生素。随着专业工作年限的增加，报告开具抗生素的比例也有所增加。在根管治疗期间，阿莫西林是最受欢迎的抗生素，其次是阿莫西林克拉维酸。随着受访者年龄的增加，青霉素的报告处方增加，而阿莫西林和阿莫西林克拉维酸的处方减少。
立陶宛牙医，尤其是从业时间较长的牙医，在治疗牙髓感染时倾向于超出抗生素使用的一般建议。然而，与从业时间较长的牙医相比，年轻牙医更倾向于开具更广泛的抗生素。
