Dental students’ knowledge regarding the indications for antibiotics in the management of endodontic infections

Martín-Jiménez, Milagros; Martín‐Biedma, Benjamín; López‐López, José; Alonso-Ezpeleta, Óscar; Velasco‐Ortega, Eugenio; Jiménez-Sánchez, María C; Segura‐Egea, Juan J.

doi:10.1111/iej.12778

Cited by 35 publications

(94 citation statements)

References 47 publications

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“…, ESE ), high numbers of G1 participants believed that an acute apical abscess was an indication for antibiotics prescription (Q.4 II), the trend to overuse antibiotics in this situation was in agreement with Martín‐Jiménez et al . () who reported that the vast majority of final year students would prescribe antibiotics when a swelling was present. Therefore, one could speculate that those students after qualification could contribute to the unnecessary prescribing of antibiotics for such condition.…”

Section: Discussionmentioning

confidence: 99%

“…In the hypothetical case scenarios, it was noticeable that the majority of the final year students would prescribe antibiotics to treat teeth with necrotic pulp tissues and symptomatic apical periodontitis (75%), similarly Martín‐Jiménez et al . () reported that 44% of final year students in Spain would also prescribe antibiotics to treat this condition. The number of students who would misuse antibiotics to treat irreversible pulpitis (Q.10) was much lower (25%) in the present study compared to those reported by Martín‐Jiménez et al .…”

Section: Discussionmentioning

confidence: 99%

“…The number of students who would misuse antibiotics to treat irreversible pulpitis (Q.10) was much lower (25%) in the present study compared to those reported by Martín‐Jiménez et al . () (63%). This difference could be attributed to differences in the undergraduate curriculum, or most likely to the methodology used to obtain the answers.…”

Section: Discussionmentioning

confidence: 99%

“…Martín‐Jiménez et al . () provided the diagnosis to the students to aid their decision‐making, this means students would need to recall what clinical manifestations each diagnosis would represent, whereas case scenarios were given in the present study, and the students had to reach their own diagnosis to decide on the use of systemic antibiotics.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

et al. 2018

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Final year undergraduate students were aware of the antibiotic resistance crisis, although a third was not aware of guidelines for use of antibiotics in endodontic conditions; their responses to clinical scenario were generally compatible with the guidelines. General dentists were less aware of the implications of overuse of antibiotics and the existence of guidelines, and their responses were occasionally incompatible with antibiotic guidelines for endodontic therapies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

et al. 2018

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show abstract

“…A study conducted in four universities in Spain (Barcelona, Seville, Santiago de Compostela and Zaragoza) (Martín‐Jiménez et al . ) concluded that whilst the majority of students were aware of the correct management of endodontic infections, others still displayed an inappropriate use of antibiotics. Of particular note was the proposed use of antibiotics in certain situations such as irreversible pulpitis, apical periodontitis, and use of antibiotic therapy for longer than 7 days.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic prescribing for endodontic infections: a survey of dental students in Italy

et al. 2019

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Aim To determine the knowledge of final year undergraduate students attending Italian universities on the appropriate use of systemic antibiotics for endodontic infections. Methodology Final year dental students from twenty Italian universities completed a one‐page questionnaire on antibiotic use for the treatment of endodontic infections. Data were analysed using descriptive statistics and chi‐square tests. Results A total of three hundred and three students completed the questionnaire. The average duration of antibiotic prescription proposed by respondents was 5.48 ± 1.06 days. Amoxicillin with clavulanic acid was the first‐choice antibiotic (85.2%) followed by amoxicillin alone (13.5%), azithromycin (1.0%) and clarithromycin (0.3%), for patients not allergic to penicillin. Clarithromycin was the first‐choice drug for patients with a penicillin allergy (56.1%), followed from azithromycin (31.7%), clindamycin (11.9%) and levofloxacin (0.3%). Alveolar abscess with systemic manifestations was reported as the principal reason to prescribe antibiotics (97.7%) followed by the same condition without systemic manifestations (85.5%). For the scenario of irreversible pulpitis, 5% of students considered antibiotics necessary. Almost 52% of students would prescribe antibiotics for apical acute periodontitis; 29.7% would prescribe antibiotics for chronic apical periodontitis with sinus tract, and 13.5% indicated these drugs for chronic apical periodontitis without sinus tract. Conclusions The results demonstrate that it is necessary to improve the knowledge of Italian students on antibiotics and indications for their use in endodontics.

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Medication knowledge among dental students in Australia—a cross‐sectional study

Park

Turner

et al. 2020

Journal of Dental Education

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Purpose/objectives Prescribing medicine is integral to clinical dentistry. Future dental practitioners need to have a thorough knowledge of how to prescribe safely and effectively. To date, medication knowledge among dental students in Australia has not been assessed at a national scale. Methods Australian dental students were invited to undertake the survey comprising 12 multiple choice questions to investigate their medication knowledge. A total of 185 responses were received. The questions were 11 clinically relevant questions and 1 opinion‐based question with 4 options from which to select. Results were analyzed using descriptive statistics. Results The 185 respondents had a mean correct response of 6.77 ± 1.8 (range: 2−11 out of 11). Out of 185 students, 142 students (77%) answered more than half of the questions correctly. Only 1 student (1%) answered all 11 questions correctly. There were 135 students (73%) who either agreed or strongly agreed that they would feel confident to prescribe safe and effective medication for their patients after having completed dental school. Conclusion Most respondents answered more than half, but not all, of the clinical questions correctly. Despite this, many reported confidence in their prescribing skills. Future research needs to further investigate pharmacotherapeutic knowledge to determine detailed knowledge gaps in prescribing.

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Dental students’ knowledge regarding the indications for antibiotics in the management of endodontic infections

Abstract: Mart ın-Jim enez M, Mart ın-Biedma B, L opez-L opez J, Alonso-Ezpeleta O, Velasco-Ortega E, Jim enez-S anchez MC, Segura-Egea JJ. Dental students' knowledge regarding the indications for antibiotics in the management of endodontic infections.

Cited by 35 publications

References 47 publications

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

Antibiotic prescribing for endodontic therapies: a comparative survey between general dental practitioners and final year Bachelor of Dental Surgery students in Cardiff, UK

Antibiotic prescribing for endodontic infections: a survey of dental students in Italy

Medication knowledge among dental students in Australia—a cross‐sectional study

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