Dibaji Fatemeh, Yazdani Reza, Sajadi Sara, Mohamadi Elahe, Mohammadian Fatemeh, Kharazi Fard Mohammad Javad
Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Front Dent. 2021 Apr 15;18:13. doi: 10.18502/fid.v18i13.6138. eCollection 2021.
This study aimed to determine the self-declarative performance of general dentists in prescription of analgesics and antibiotics for patients requiring root canal treatment (RCT). In this cross-sectional study, 400 general dentists participating in the 55 International Annual Scientific Congress of the Iranian Dental Association (2015) were randomly selected, and requested to complete a questionnaire about their performance regarding prescribing analgesics and antibiotics for patients requiring RCT. The frequency and percentage of answers to each question were calculated and reported. The most commonly prescribed analgesics included ibuprofen (100.0%), Gelofen (100.0%), Novafen (68.5%) and acetaminophen (24.8%). After RCT, dentists prescribed ibuprofen (100.0%), Gelofen (98.3%), dexamethasone (35.3%), Novafen (27.3%) and acetaminophen/codeine (15.8%) in decreasing order of frequency. Antibiotic prescription was minimum (48.5%) for cases with painful (moderate or severe) irreversible pulpitis (vital tooth) before the treatment and maximum for cases of pulp necrosis with acute apical periodontitis, edema, and preoperative symptoms (moderate or severe) (97.3%). For non-allergic patients, the most frequently prescribed antibiotics were amoxicillin 500 mg (93.3%), cefixime 400 mg (81.3%), amoxicillin/metronidazole 250 mg (71.8%), co-amoxiclav 265 mg (36.3%) and injectable penicillin (0.5%). For allergic patients, dentists prescribed clindamycin 300 mg (84.0%), cephalexin 500 mg (15.8%), azithromycin 500 mg (13.5%), and erythromycin 500 mg (10.8%). Sex and graduation date had no significant effect on the results (P>0.05). Antibiotic prescription is excessive by general dentists, and their performance regarding the proper and logical prescription of antibiotics in RCT should be improved.
本研究旨在确定普通牙医为需要进行根管治疗（RCT）的患者开具镇痛药和抗生素的自我陈述表现。在这项横断面研究中，随机选择了参加伊朗牙科协会第55届国际年度科学大会（2015年）的400名普通牙医，并要求他们填写一份关于为需要RCT的患者开具镇痛药和抗生素的表现的问卷。计算并报告每个问题答案的频率和百分比。最常开具的镇痛药包括布洛芬（100.0%）、盖洛芬（100.0%）、诺瓦芬（68.5%）和对乙酰氨基酚（24.8%）。根管治疗后，牙医按频率递减顺序开具的药物为布洛芬（100.0%）、盖洛芬（98.3%）、地塞米松（35.3%）、诺瓦芬（27.3%）和对乙酰氨基酚/可待因（15.8%）。治疗前疼痛（中度或重度）的不可逆性牙髓炎（活髓牙）病例的抗生素处方率最低（48.5%），而牙髓坏死伴急性根尖周炎、水肿和术前症状（中度或重度）的病例的抗生素处方率最高（97.3%）。对于非过敏患者，最常开具的抗生素是500毫克阿莫西林（93.3%）、400毫克头孢克肟（81.3%）、250毫克阿莫西林/甲硝唑（71.8%）、265毫克复方阿莫西林（36.3%）和注射用青霉素（0.5%）。对于过敏患者，牙医开具300毫克克林霉素（84.0%）、500毫克头孢氨苄（15.8%）、500毫克阿奇霉素（13.5%）和500毫克红霉素（10.8%）。性别和毕业日期对结果无显著影响（P>0.05）。普通牙医的抗生素处方过量，他们在RCT中合理、逻辑地开具抗生素的表现应得到改善。
