Current Trends in Antibiotics Prescription Following Dental Implant Placement: A Hospital Based Assessment
Author(s): Subasree Soundarajan and Priya lochana Gajendran*
Abstract
Aim: The aim of the study is to assess the antibiotics preferred following implant placement in the hospital set up in Saveetha Institute of Medical & Technical Science (SIMATS). Materials & method: This hospital based study was carried out by retrospective analysis of the data from the patient records. Patient records from June 2019 to March 2020 were assessed. 574 patient records were studied. Parameters assessment: A) Demographic details-Patient Name, Patient Identity number (PID no.), Age, Sex, Medical history, (B) Implant parameters-Implant site, type of implant procedure (Single versus multiple implants), bone grafting procedures, (C) Antibiotic parameters - Drug of choice & dosage of antibiotics prescribed. Chi square tests were performed to assess the relationship between antibiotics with systemic status, single versus multiple implants, and bone grafting procedures. Results: A total of five hundred and seventy four patients have undergone dental implant placements. Around 1269 implants were placed. Most commonly prescribed antibiotic was Amoxicillin 500 mg (80.84%), followed by combination of amoxicillin 500 mg and metronidazole 400 mg (Flagyl) (13.94%), combination of amoxicillin & clavulanic acid 625 mg (Augmentin) (4.53%), followed by combination of Flagyl 400 mg and Augmentin 625 mg (0.7%). Chi square tests showed no statistically significant relationship between the antibiotic prescribed and systemic status of the patients, single versus multiple implants & bone grafting procedures. Conclusion: According to this hospital based study, the most commonly prescribed post-operative antibiotic following implant placement is Amoxicillin 500 mg. Based on our study observations, there is no statistically significant relationship between the type of antibiotic prescribed and systemic status of the patients, single versus multiple implants & bone grafting procedures. Clinical significance: Antibiotic resistance has become a serious threat globally. Dentists prescribe about 7-11% of all common antibiotics. Hence it is important to study the current trends in antibiotics prescription following dental implant placement, and design a protocol for the same.