Evidence map›Paper›PMID 39846316›Full record

ArticleJournal of public health dentistry2025

Antibiotic Prescription Trends in Dentistry: A Descriptive Study Using Japan's National Database.

Kaho Hirayama, Naoki Kanda, Hideki Hashimoto, Hiromasa Yoshimoto, Kazuo Goda, Naohiro Mitsutake, Shuji Hatakeyama

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Antibiotic Resistance in Dentistry: A Review.Antibiotics (Basel, Switzerland) · 2025
    Review
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

7 authors.

Kaho HirayamaDivision of General Medicine, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0002-9412-0630
Naoki KandaDivision of General Medicine, Jichi Medical University, Tochigi, Japan.
Hideki HashimotoDivision of General Medicine, Jichi Medical University, Tochigi, Japan.
Hiromasa YoshimotoInstitute for Health Economics and Policy, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9702-2879
Kazuo GodaInstitute of Industrial Science, The University of Tokyo, Tokyo, Japan.
Naohiro MitsutakeInstitute for Health Economics and Policy, Tokyo, Japan.
Shuji HatakeyamaDivision of General Medicine, Jichi Medical University, Tochigi, Japan.

Funding

Cross-ministerial Strategic Innovation Promotion Program JPJ012425Foundation for the Development of the CommunityMEXT KAKENHI 24K10538
6 · The paper itself

Abstract

objectivesAntibiotic prescription trends in dentistry in Japan remain underexplored. This study aimed to describe these trends and evaluate the impact of the national antimicrobial stewardship program launched in 2016.

methodsUsing Japan's national administrative claims database from fiscal year (FY) 2015 to FY 2020, this cross-sectional study comprehensively analyzed trends in antibiotic prescription by dentists. Prescription rates were computed per 1000 inhabitants yearly and standardized to the FY 2015 national population. Changes in prescription rates were evaluated using Poisson regression analysis.

resultsIn FY 2020, the total number of antibiotic prescriptions was 134.4 per 1000 inhabitants per year, showing a 6% decline over the 6-year period (95% confidence interval, 6%-6%). Third-generation cephalosporins constituted 52.3% of dental antibiotic prescriptions in FY 2020, though the proportion had slightly decreased. In hospitals, prescriptions of third-generation cephalosporins decreased from 64.9% in 2015 to 20.3% in 2020, being replaced by penicillin (from 15.0% to 64.0%). However, in clinics, the magnitude of the change was small (third-generation cephalosporins, 60.5%-53.1%; penicillin, 10.2%-22.2%).

conclusionsThird-generation cephalosporins continue to dominate dental antibiotic prescriptions. The increase in penicillin use was much more pronounced in hospitals than in clinics. Strengthening antimicrobial stewardship, particularly in clinics where the majority of dental care is provided, is crucial.

Indexed as

Anti-Bacterial AgentsDrug PrescriptionsPractice Patterns, Dentists'Antimicrobial StewardshipCross-Sectional StudiesDatabases, FactualHumansJapanAnti-Bacterial Agentsantimicrobial stewardshipdentistrydentistsnational administrative claims database

Identifiers

PMID39846316
PMCPMC12147424

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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.