Are systemic antibiotics indicated in children presenting with an odontogenic abscess in the primary dentition? A systematic review of the literature

Leroy, Roos; Bourgeois, Jolyce; Verleye, Leen; Carvalho, Joana Christina; Eloot, Anouk; Cauwels, Rita; Declerck, Dominique

doi:10.1007/s00784-021-03862-3

Cited by 5 publications

(6 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Antibiotic over-prescription remains a problem in dental practice, globally and in the country of the present investigation in particular (Mainjot et al, 2009;Struyf et al, 2019). In the global attempt to reduce the rise in antibiotic resistance (Hernando-Amado et al, 2019), the long-term evidence provided here further support the need to avoid prescription outside the few exceptional situations specified in the latest guidelines (Leroy et al, 2020).…”

Section: Reasons For the Loss Of Root Canal Treated Teeth Number Perc...mentioning

confidence: 58%

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

2023

View full text Add to dashboard Cite

Aim There are currently no prospective studies evaluating the long‐term outcomes of non‐surgical root canal treatments beyond 5 years, both in terms of treatment success and tooth preservation, and identifying factors predictive of treatment outcome. The aim of the present work was therefore to fill this gap by assessing these outcomes over time and identifying predictive variables based on systematic data collection over a 25‐year period. Methodology Data concerning the treatments (N = 2500) were systematically collected since 1990. Information was recorded among clinical, technical, radiographic and patient‐related characteristics, i.e., approximately 150 variables for each treatment. The data were analysed regarding both treatment success and tooth preservation by multivariable Cox proportional hazards model, and survival curves were generated. The statistical significance level was set at 0.0125. Results In total, 56.4% of the treatments could be followed over time (0–25 years, mean = 6.5 years, median = 5 years). Survival probability decreased almost linearly for treatment success, with about 85% after 5 years and 60% after 20 years, and for tooth preservation, with about 90% at 5 years and 50% at 20 years. The variables significantly associated with treatment failure were: pre‐operative pain (Hazard Ratio—HR = 1.56 [95% CI 1.23–1.97]), persistent pain (HR = 2.63 [95% CI 1.44–4.80]), good operator rating of treatment prognosis (HR = 0.46 [95% CI 0.36–0.58]), size of periapical bone radiolucency (HR = 1.88 [95% CI 1.67–2.11]), and tooth type (p = .0006). For tooth extraction, they were: combined endodontic‐periodontal lesion (HR = 3.37 [95% CI 1.88–6.05]), pre‐existing complication before treatment (HR = 1.67 [95% CI 1.26–2.21]), good operator rating of treatment prognosis (HR = 0.45 [95% CI 0.33–0.60]), clinical failure of root canal treatment (HR = 2.78 [95% CI 1.98–3.89]) and tooth type (p = .0012). Conclusion Root canal treatment success and tooth preservation on the arch are not static outcomes, but evolve with time. Among a substantial set of potential predictors, only a small proportion was significantly predictive of treatment success and tooth preservation, most of them being disease and patient characteristics, and not technical aspects, except pre‐existing complications. These observations challenge the importance frequently given to byzantine considerations related to the numerous technical details of endodontic procedures, as opposed to general concepts of good clinical practice.

show abstract

Section: Reasons For the Loss Of Root Canal Treated Teeth Number Perc...mentioning

confidence: 58%

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

2023

View full text Add to dashboard Cite

show abstract

“…In England, studies assessing the management of dental pain by analgesics and dental infection by antibiotics as adjuncts to local treatment during the lockdown period showed similar trends, with an increase in antibiotics prescription ranging from 22% to 25%, while the finding for analgesics prescriptions of 84% largely exceeded our figures [38,39]. To combat further development of antibiotic resistance, the appropriate prescription of antibiotics as adjunct to local treatment of oral infections is of utmost importance [40,41]. During the lockdown period, 85% of Belgian dentists reported that their antibiotics prescription practice was justified by the clinical condition of the patients.…”

Section: Discussionmentioning

confidence: 90%

Dentist Related Factors Associated with Implementation of COVID-19 Protective Measures: A National Survey

Carvalho

Declerck

Jacquet³

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Little is known about the extent to which dentists have implemented COVID-19 infection control guidelines and the factors influencing this process in daily practice. This national online survey assessed the implementation of enhanced infection control guidelines in daily practice, and explored dentist related factors influencing their application, more specifically dentist infection status and their perceived risk of cross-infection in the dental setting. The survey was validated, pretested and carried out in 2020. A total of 1436 dentists participated, of whom 9.1% presumably had COVID-19 infection experience. At least 75% of dentists complied with the core part of the recommended protective measures protocol. For each patient treated during the pandemic, an additional cost of 10–30 EUR (86.7%) and an extra time of 10–30 min (70.7%) was estimated. A stepwise binary logistic regression analysis revealed that dentists assumed to have experienced COVID-19 reported a higher self-perceived risk of virus acquisition (β = 2.090; p = 0.011), lower concern of getting infected (β = 0.576; p = 0.027), and lower confidence in being able to prevent disease transmission in the dental setting (β = 0.535; p = 0.022). Some parts of the protective measures were more difficult to apply than others; however, there was no indication of increased disease acquisition in the dental setting.

show abstract

“…Se recomienda el uso de antibióticos en los niños con diagnóstico clínico de infección facial odontogénico en dentición temporal con signos de afectación sistémica 23 . En cuanto a la terapia antibiótica, en el presente estudio la clindamicina vía endovenosa fue el antibiótico más utilizado, lo que concuerda con los estudios de Medina J 18 y…”

Section: Materials Y Métodosunclassified

Características y manejo de infecciones faciales odontogénicas en pacientes pediátricos hospitalizados. Estudio retrospectivo

Sánchez Huamán,

Flores Dueñas,

Sánchez Huamán

2023

spor

View full text Add to dashboard Cite

Objetivo: Describir las características y manejo de infecciones faciales odontogénicas en pacientes pediátricos hospitalizados en un hospital de referencia de Cusco, Perú. Material y métodos: Se realizó un estudio descriptivo, transversal y retrospectivo, que incluyó un total de 90 historias clínicas de pacientes menores de 15 años que fueron hospitalizados por infecciones odontogénicas, atendidos en el Hospital Nacional Adolfo Guevara Velasco del Cusco durante los años 2011-2016. Resultados: Las infecciones se presentaron con mayor frecuencia en niños del sexo masculino (60%) con edades comprendidas de 1 a 4 años (52.22%). Las infecciones se presentaron mayormente en los dientes posteriores (76.67%) localizándose preferentemente en la región superior de la cara (63.33%). El tiempo promedio de estancia hospitalaria fue de 4.58 ± 2.27 días. La terapia antibiótica más empleada fue la clindamicina (57.78%); y, la apertura cameral y el drenaje del diente afectado (56.67%) fueron los tratamientos odontológicos más realizados durante la hospitalización. Conclusión: Las infecciones faciales odontogénicas se hallaron con mayor frecuencia en niños menores de 4 años, de sexo masculino. Las infecciones se presentaron mayormente en los dientes posteriores, localizados preferentemente en la región superior de la cara. La apertura cameral y drenaje del diente causal fueron los tratamientos más frecuentes; y, la clindamicina fue la terapia antibiótica más emplead

show abstract

Are systemic antibiotics indicated in children presenting with an odontogenic abscess in the primary dentition? A systematic review of the literature

Cited by 5 publications

References 53 publications

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

What ultimately matters in root canal treatment success and tooth preservation: A 25‐year cohort study

Dentist Related Factors Associated with Implementation of COVID-19 Protective Measures: A National Survey

Características y manejo de infecciones faciales odontogénicas en pacientes pediátricos hospitalizados. Estudio retrospectivo

Contact Info

Product

Resources

About