Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists
Aim: The objective was to assess the knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies among dentists, registered with IDA, in and around Hyderabad. Materials and Methods: Cross-sectional survey was conducted from January 2014 to F...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2014-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/4536/9645_050614_9645_CE[Ra1]_F(DK)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdf |
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| author | M Jayadev P Karunakar B Vishwanath S Soumya Chinmayi P Siddhartha B Chaitanya |
| author_facet | M Jayadev P Karunakar B Vishwanath S Soumya Chinmayi P Siddhartha B Chaitanya |
| author_sort | M Jayadev |
| collection | DOAJ |
| description | Aim: The objective was to assess the knowledge and pattern
of antibiotic and non narcotic analgesic prescription for pulpal
and periapical pathologies among dentists, registered with IDA,
in and around Hyderabad.
Materials and Methods: Cross-sectional survey was conducted
from January 2014 to February 2014 in and around Hyderabad,
Andhra Pradesh, India. A questionnaire for this cross-sectional
survey was designed for evaluating the knowledge and patterns
of antibiotic and non narcotic analgesic prescription for pulpal
and periapical pathologies. It included some demographic
information, questions regarding clinical and non clinical factors,
type of antibiotics and non narcotics analgesics prescribed
were recorded. Data was computed and analysed using SPSS
software. Descriptive statistics was performed.
Results: The response rate for the study was 85%, 51.4%
being males and 53.9% were pursuing post graduation. Of the
respondents, 44.3% would prescribe medication with elevated
body temperatures and evidence of systemic involvement, while
42.8% would prescribe medication for non clinical factors such as
unsure of diagnosis. Necrotic pulp with acute apical periodontitis
with swelling present and mod/severe preoperative symptoms
was the most common condition identified for antibiotic therapy
(56.4%). The first antibiotic of choice in patients with no medical
allergies is amoxicillin, followed by amoxicillin and metronidazole.
The first antibiotic of choice in case of allergic to penicillin was
erythromycin. 55.1% and 37.3% would not prescribe antibiotic
and analgesic after Root canal treatment respectively. The most
commonly prescribed NSAID is Diclofenac (51.1%). Factors
influencing the choice of analgesics among respondents is
severity of pain (61.4%). 31.7% remained informed of current
prophylactic practices through pharmaceutical companies
followed by university training sessions and scientific societies
(30.7%).
Conclusion: The results of the present survey have demonstrated
a lack of uniformity among the dental practitioners. All the
clinicians should make themselves aware of the current guidelines
available, to ensure highest degree of patient care. |
| first_indexed | 2024-12-10T07:26:38Z |
| format | Article |
| id | doaj.art-ab291df264484b6bbebf1e81deebf084 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T07:26:38Z |
| publishDate | 2014-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ab291df264484b6bbebf1e81deebf0842022-12-22T01:57:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-07-0187ZC10ZC1410.7860/JCDR/2014/9645.4536Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among DentistsM Jayadev0P Karunakar1B Vishwanath2S Soumya Chinmayi3P Siddhartha4B Chaitanya5Assitant Professor, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental sciences & Hospital, Hyderabad, Andhra Pradesh, India. Professor and HOD, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental sciences & Hospital, Hyderabad, Andhra Pradesh, India.Professor, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences & Hospital, Hyderabad, Andhra Pradesh, India.Post Graduate Student, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences & Hospital, Hyderabad, Andhra Pradesh, India.Post Graduate Student, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences & Hospital, Hyderabad, Andhra Pradesh, India.Assistant Professor, Department of Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences & Hospital, Hyderabad, Andhra Pradesh, India.Aim: The objective was to assess the knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies among dentists, registered with IDA, in and around Hyderabad. Materials and Methods: Cross-sectional survey was conducted from January 2014 to February 2014 in and around Hyderabad, Andhra Pradesh, India. A questionnaire for this cross-sectional survey was designed for evaluating the knowledge and patterns of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies. It included some demographic information, questions regarding clinical and non clinical factors, type of antibiotics and non narcotics analgesics prescribed were recorded. Data was computed and analysed using SPSS software. Descriptive statistics was performed. Results: The response rate for the study was 85%, 51.4% being males and 53.9% were pursuing post graduation. Of the respondents, 44.3% would prescribe medication with elevated body temperatures and evidence of systemic involvement, while 42.8% would prescribe medication for non clinical factors such as unsure of diagnosis. Necrotic pulp with acute apical periodontitis with swelling present and mod/severe preoperative symptoms was the most common condition identified for antibiotic therapy (56.4%). The first antibiotic of choice in patients with no medical allergies is amoxicillin, followed by amoxicillin and metronidazole. The first antibiotic of choice in case of allergic to penicillin was erythromycin. 55.1% and 37.3% would not prescribe antibiotic and analgesic after Root canal treatment respectively. The most commonly prescribed NSAID is Diclofenac (51.1%). Factors influencing the choice of analgesics among respondents is severity of pain (61.4%). 31.7% remained informed of current prophylactic practices through pharmaceutical companies followed by university training sessions and scientific societies (30.7%). Conclusion: The results of the present survey have demonstrated a lack of uniformity among the dental practitioners. All the clinicians should make themselves aware of the current guidelines available, to ensure highest degree of patient care.https://jcdr.net/articles/PDF/4536/9645_050614_9645_CE[Ra1]_F(DK)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdfamoxicillinapical periodontitisdiclofenachyderabadprescribing patternpulpitis |
| spellingShingle | M Jayadev P Karunakar B Vishwanath S Soumya Chinmayi P Siddhartha B Chaitanya Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists Journal of Clinical and Diagnostic Research amoxicillin apical periodontitis diclofenac hyderabad prescribing pattern pulpitis |
| title | Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists |
| title_full | Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists |
| title_fullStr | Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists |
| title_full_unstemmed | Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists |
| title_short | Knowledge and Pattern of Antibiotic and Non Narcotic Analgesic Prescription for Pulpal and Periapical Pathologies- A Survey among Dentists |
| title_sort | knowledge and pattern of antibiotic and non narcotic analgesic prescription for pulpal and periapical pathologies a survey among dentists |
| topic | amoxicillin apical periodontitis diclofenac hyderabad prescribing pattern pulpitis |
| url | https://jcdr.net/articles/PDF/4536/9645_050614_9645_CE[Ra1]_F(DK)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdf |
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