ArticleAmerican journal of preventive medicine2022
Appropriateness of Antibiotic Prophylaxis Before Dental Procedures, 2016-2018.
Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Global prevalence and guideline adherence of antibiotic prescribing in dental implant surgery: A systematic review and meta-analysis.The Japanese dental science review · 2026Review
- Article
- Appropriateness of antibiotic prescribing in dental practice: results of two clinical audits conducted at a university hospital.Frontiers in oral health · 2026Article
- Appropriateness of Antibiotic Prescriptions Written for Dental Prophylaxis Within a Regional Veterans Affairs Healthcare System Based on American Dental Association and American Academy of Orthopaedic Surgeons Guidance.Open forum infectious diseases · 2025Article
- Antibiotic Prescription Trends in Dentistry: A Descriptive Study Using Japan's National Database.Journal of public health dentistry · 2025Article
- Acceptability and usability of Drugs4dentBMC oral health · 2025Article
- Outpatient antibiotic prescribing by general dentists in the United States from 2018 through 2022.Journal of the American Dental Association (1939) · 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
- Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental PBRN.Journal of public health dentistry · 2024Article
- Antibiotic-Prescribing Habits in Dentistry: A Questionnaire-Based Study.Antibiotics (Basel, Switzerland) · 2024Article
- Guideline concordance and antibiotic-associated adverse events between Veterans administration and non-Veterans administration dental settings: a retrospective cohort study.Frontiers in pharmacology · 2024Article
- Changes in antibiotic prescribing by dentists in the United States, 2012-2019.Infection control and hospital epidemiology · 2023Article
- Comparison of guideline concordant antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs dental settings among those with cardiac conditions or prosthetic joints.BMC infectious diseases · 2023Article
- Antimicrobial Prophylaxis in Dentistry: Survey among Dental Surgeons in Porto Alegre, Brazil, and the Metropolitan Region.The American journal of tropical medicine and hygiene · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
introductionPrescribing antibiotic prophylaxis is common yet unnecessary for many dental visits. In this analysis, our objective was to assess whether the appropriateness of antibiotic prophylaxis has improved over time.
methodsA retrospective cohort study was conducted using dental visits from 2016 to 2018 (data analyzed in 2021) using medical and prescriptions claims data of patients from the U.S. with commercial dental insurance. Antibiotic prophylaxis was defined as a ≤2 days' supply prescription dispensed within 7 days before a dental visit. Appropriateness of prophylaxis was defined on the basis of the manipulation of the gingiva/tooth periapex or oral mucosa perforation in patients with appropriate cardiac diagnoses. Associations between patient and visit characteristics and appropriateness of antibiotic prophylaxis were assessed using multiple Poisson regression.
resultsUnnecessary antibiotic prophylaxis was highly prevalent in this cohort, ranging from 77.0% in 2016 to 78.5% in 2018. In the adjusted analysis, factors associated with unnecessary antibiotic prophylaxis included younger age, female sex, geographic region, rurality, type of antibiotic, and certain dental procedures. The factors associated with the highest risk of unnecessary prophylaxis in the adjusted analysis were orthodontic procedures and having a history of a prosthetic joint. Notably, the risk of unnecessary antibiotic prophylaxis decreased over time in the adjusted analysis.
conclusionsUnnecessary prescription of antibiotic prophylaxis by dentists continues to be common. Antimicrobial stewardship strategies are needed to improve prescribing by dentists.
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