ArticleAnnals of emergency medicine2019
Antibiotic Prescriptions Associated With Dental-Related Emergency Department Visits.
Article in Annals of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Non-traumatic dental presentations at accident and emergency departments in the UK: a systematic review.British dental journal · 2020Pooled it
- Antibiotics for the urgent management of symptomatic irreversible pulpitis, symptomatic apical periodontitis, and localized acute apical abscess: Systematic review and meta-analysis-a report of the American Dental Association.Journal of the American Dental Association (1939) · 2019Pooled it
- Management of acute dental pain in adults.Canadian family physician Medecin de famille canadien · 2026Article
- Pharmacologic Management of Non-Traumatic Dental Conditions in US Emergency Departments, 2018-2022.Journal of public health dentistry · 2025Article
- Outpatient antibiotic prescribing by general dentists in the United States from 2018 through 2022.Journal of the American Dental Association (1939) · 2025Article
- Assessing Dental Practitioners' Training, Knowledge, and Confidence Regarding Abscesses with Incision and Drainage Procedures: A South Texas Oral Health Network Study.Texas public health journal · 2025Article
- Evaluation of outpatient clindamycin prescriptions across a large military healthcare network.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Appropriateness of antibiotic prescribing among patients treated for dental diseases in Mekelle city, Northern Ethiopia: a cross sectional study.Journal of health, population, and nutrition · 2024Article
- Antibiotic Over-Prescription by Dentists in the Treatment of Apical Periodontitis: A Systematic Review and Meta-Analysis.Antibiotics (Basel, Switzerland) · 2024Review
- Fully Characterized Effective Bacteriophages Specific against Antibiotic-ResistantMedicina (Kaunas, Lithuania) · 2024Article
- Impact of COVID-19 on hospital visits for non-traumatic dental conditions in Ontario, Canada.BMC research notes · 2023Article
- Quantifying the Gap between Expected and Actual Rates of Antibiotic Prescribing in British Columbia, Canada.Antibiotics (Basel, Switzerland) · 2021Article
- Connecting Medical Personnel to Dentists via Teledentistry in a Children's Hospital System: A Pilot Study.Frontiers in oral health · 2021Article
- Antibiotic and opioid prescribing for dental-related conditions in emergency departments: United States, 2012 through 2014.Journal of the American Dental Association (1939) · 2020Article
- Inappropriate Dental Antibiotic Prescriptions: Potential Driver of the Antimicrobial Resistance in Albaha Region, Saudi Arabia.Risk management and healthcare policy · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
STUDY
objectiveThe frequency of antibiotic prescribing and types of antibiotics prescribed for dental conditions presenting to the emergency department (ED) is not well known. The objective of this study is to quantify how often and which dental diagnoses made in the ED resulted in an antibiotic prescription.
methodsFrom 2011 to 2015, there were an estimated 2.2 million (95% confidence interval [CI] 1.9 to 2.5 million) ED visits per year for dental-related conditions, which accounted for 1.6% (95% CI 1.5% to 1.7%) of ED visits. This is based on an unweighted 2,125 observations from the National Hospital Ambulatory Medical Care Survey in which a dental-related diagnosis was made.
resultsAn antibiotic, most often a narrow-spectrum penicillin or clindamycin, was prescribed in 65% (95% CI 61% to 68%) of ED visits with any dental diagnosis. The most common dental diagnoses for all ages were unspecified disorder of the teeth and supporting structures (44%; 95% CI 41% to 48%; International Classification of Diseases, Ninth Revision, Clinical Modification[ICD-9-CM] code 525.9), periapical abscess without sinus (21%; 95% CI 18% to 25%; ICD-9-CM code 522.5), and dental caries (18%; 95% CI 15% to 22%; ICD-9-CM code 521.0). Recommended treatments for these conditions are usually dental procedures rather than antibiotics.
conclusionThe common use of antibiotics for dental conditions in the ED may indicate the need for greater access to both preventive and urgent care from dentists and other related specialists as well as the need for clearer clinical guidance and provider education related to oral infections.
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Registered trials
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