Evidence map›Paper›PMID 28417452›Full record

ReviewInternational dental journal2017

Worldwide pattern of antibiotic prescription in endodontic infections.

Juan José Segura-Egea, Jenifer Martín-González, María Del Carmen Jiménez-Sánchez, Isabel Crespo-Gallardo, Juan José Saúco-Márquez, Eugenio Velasco-Ortega

Open access · bronzeAbstract readReview
In one paragraph

Review in International dental journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 81 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Juan José Segura-EgeaDepartment of Stomatology (Endodontics), School of Dentistry, University of Sevilla, Sevilla, Spain.
Jenifer Martín-GonzálezDepartment of Stomatology (Endodontics), School of Dentistry, University of Sevilla, Sevilla, Spain.
María Del Carmen Jiménez-SánchezDepartment of Stomatology (Endodontics), School of Dentistry, University of Sevilla, Sevilla, Spain.
Isabel Crespo-GallardoDepartment of Stomatology (Endodontics), School of Dentistry, University of Sevilla, Sevilla, Spain.
Juan José Saúco-MárquezDepartment of Stomatology (Endodontics), School of Dentistry, University of Sevilla, Sevilla, Spain.
Eugenio Velasco-OrtegaDepartment of Stomatology (Comprehensive Dentistry), School of Dentistry, University of Sevilla, Sevilla, Spain.
Universidad de Sevilla · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOdontogenic infections, and especially endodontic infections, are polymicrobial, involving a combination of Gram-positive and Gram-negative facultative anaerobes and strictly anaerobic bacteria. Therefore, antibiotics can be used as an adjunct to endodontic treatment. However, most chronic and even acute endodontic infections can be successfully managed by disinfection of the root-canal system, which eliminates the source of infection, followed by abscess drainage or tooth extraction, without the need for antibiotics. The literature provides evidence of inadequate prescribing practices by dentists. The aim of this concise review was to analyse the worldwide pattern of antibiotic prescription in endodontic infections.

methodsComprehensive searches were conducted in MEDLINE/PubMed, Wiley Online Database, Web of Science and Scopus. The databases were searched up to 13 March 2016 for studies in which dentists used systemic antibiotics to treat endodontic lesions and which reported data on the type of antibiotic prescribed and on the diagnosis of the endodontic disease treated.

resultsThe electronic and hand searches identified 69 titles, of which 25 were included in the final analysis. Amoxicillin was reported as the drug of choice for endodontic infections in most countries, and clindamycin and erythromycin were the choice for patients allergic to penicillin. Dentists worldwide prescribe antibiotics for non-indicated conditions, such as pulpitis.

conclusionAntibiotics are overprescribed for the management of endodontic infections. It is necessary to improve antibiotic-prescribing habits in the treatment of endodontic infections, as well as to introduce educational initiatives to encourage the coherent and proper use of antibiotics in such conditions.

Indexed as

Practice Patterns, Dentists'AfricaAnti-Bacterial AgentsAsiaAustraliaDrug PrescriptionsEuropeHumansPrescription Drug OverusePulpitisSouth AmericaUnited StatesAnti-Bacterial AgentsAntibiotics prescriptionapical periodontitispulpitis

Identifiers

PMID28417452
PMCPMC9378895
OpenAlexW2606616258

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.