Evidence map›Paper›PMID 35260237›Full record

ArticleJournal of the American Dental Association (1939)2022

Factors that affect dentists' use of antibiotic prophylaxis: Findings from The National Dental Practice-Based Research Network questionnaire.

Peter B Lockhart, Martin H Thornhill, Jing Zhao, Larry M Baddour, Gregg H Gilbert, Patrick E McKnight, Casey Stephens, Jean-Luc Mougeot, National Dental PBRN Collaborative Group

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. A Systematic Review of Dental Antibiotic Stewardship Interventions.Community dentistry and oral epidemiology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. How decisions are made: Antibiotic stewardship in dentistry.Infection control and hospital epidemiology · 2023
    Article
  7. Review
  8. Article
  9. A qualitative approach to examining antimicrobial prescribing in the outpatient dental setting.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
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

9 authors at 3 institutions in 2 countries.

Peter B Lockhart
Martin H Thornhill
Jing Zhao
Larry M Baddour
Gregg H Gilbert
Patrick E McKnight
Casey Stephens
Jean-Luc Mougeot
National Dental PBRN Collaborative Group
Carolinas Medical Center · USGeorge Mason University · USUniversity of Sheffield · GB

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

backgroundLittle is known about factors that influence dentists' decision making concerning antibiotic prophylaxis (AP) prescribing. The objective of this study was to determine factors that influence dentists' AP prescribing habits in patients at risk of developing infective endocarditis and prosthetic joint infections.

methodsA questionnaire was administered to 3,584 dentist members of The National Dental Practice-Based Research Network. In addition to descriptive statistics, ordinal regression models were used to determine the factors most likely to impact dentists' decisions to prescribe AP.

resultsOverall, 2,169 (61%) dentists in The National Dental Practice-Based Resesarch Network responded. Responders' decisions to prescribe antibiotics were influenced primarily by official guidelines, scientific literature, and physician or medical specialist opinion. Regarding potential risks, the greatest level of concern was for the development of infective endocarditis or prosthetic joint infections. Although litigation was deemed problematic, more than 90% of responders indicated a strong concern for the best course of action for the patient's health. Dentists also indicated a high level of concern about the potential for generating antibiotic-resistant bacteria with AP use and increased risk of adverse drug reactions.

conclusionsDentists' AP decision making seems most influenced by official guidelines, scientific literature, and advice from a physician or medical specialist. PRACTICAL IMPLICATIONS: These results suggest that one of the most effective means for promoting concordance of dentists clinical practice with the scientific basis for AP is to emphasize the importance and clarity of American Heart Association and American Dental Association recommendations and antimicrobial stewardship regarding prevention of infective endocarditis and prosthetic joint infections.

Indexed as

Anti-Bacterial AgentsEndocarditisAntibiotic ProphylaxisDentistsHumansPractice Patterns, Dentists'Surveys and QuestionnairesAnti-Bacterial Agentsadverse drug reactionantibiotic prophylaxisantibioticsEndocarditispractice guidelinespreventionprosthetic joint infectionsurveys

Identifiers

PMID35260237
PMCPMC9149106
OpenAlexW4220859028

What OpenQuestion holds

Textmetadata
LicenceTDM
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.