ArticleBritish dental journal2020
An analysis of the clinical appropriateness of out-of-hours emergency dental prescribing of antibiotics in Northern Ireland.
Article in British dental journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed, 3 citations in OpenAlex.
- Impact of the COVID-19 Pandemic on Antibiotic Prescribing by Dental Practitioners Across the United Kingdom's Four Countries: A Pharmacoepidemiological Study of Population-Level Dispensing Data, 2016-2023.Community dentistry and oral epidemiology · 2025Article
- Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth.International journal of environmental research and public health · 2023Review
- Systemic medicines taken by adult special care dental patients and implications for the management of their care.British dental journal · 2021Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction The inappropriate prescribing of antibiotics in dentistry is potentially linked to the development of antimicrobial resistance, as well as being a considerable cost to healthcare. This study analysed the clinical appropriateness of antibiotics prescribed from 'walk-in' and telephone triage out-of-hours emergency dental clinics in Northern Ireland.Methods Patient and prescribing data were collected from two out-of-hour emergency dental clinics over a two-month period between September and December 2017. In total, 434 prescriptions were analysed. Clinical appropriateness was determined on a case-by-case basis for each prescription by referencing dental prescribing guidelines.Results Over half of the prescriptions analysed (52.77%) were judged as clinically inappropriate. A total of 19.12% of prescriptions were judged as inappropriate, as the antibiotic prescribed was not indicated for the diagnosis recorded by the clinician. Local measures were not attempted in 36.6% of cases. A significant difference (p = 0.002) was observed between the clinical appropriateness of prescriptions issued via walk-in and triage appointments with triage appointments issuing more clinically appropriate prescriptions.Conclusions A significant number of prescriptions provided in out-of-hours emergency dental clinics in Northern Ireland were judged to be inappropriate according to current dental prescribing guidelines.
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Registered trials
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