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Article

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

1
University of Lille, Inserm, CHU Lille, U1008—Controlled Drug Delivery Systems and Biomaterials, F-59000 Lille, France
2
Department of Periodontology, School of Dentistry, University of Lille, Place de Verdun, 59000 Lille, France
3
Faculté d’Odontologie, Université de Lyon, Université Claude Bernard Lyon 1, 69008 Lyon, France
4
Hospices Civils de Lyon, Service d’Odontologie, 69007 Lyon, France
5
Laboratory Orofacial Pathologies, Imaging and Biotherapies URP2496, Université de Paris, F-92120 Montrouge, France
6
Service de Médecine Bucco-Dentaire, AP-HP, Hôpital Charles Foix, F-94200 Ivry-sur-Seine, France
7
SFPIO—French Society of Periodontology and Oral Implantology, 44000 Nantes, France
8
UFR d’Odontologie de Rennes, Bâtiment 15, 2 Avenue du Professeur Léon Bernard, Campus Santé, 35043 Rennes, France
9
Pôle Odontologie, CHU Rennes, 2 Rue Henri Le Guilloux, 35000 Rennes, France
10
CNEP—French College of Teachers in Periodontology, 35000 Rennes, France
11
Laboratoire des Multimatériaux et Interfaces, Université de Lyon—Claude Bernard Lyon 1, UMR CNRS 5615, F-69622 Villeurbanne, France
12
ReCOL—French Private Dental Practice-Based Research Network, 69007 Lyon, France
13
University of Lille, CHU Lille, ULR 2694—METRICS: Evaluation of Health Technologies and Medical Practices, F-59000 Lille, France
14
University of Lille, Inserm, CHU Lille, UMR-S 1172 JPArc, F-59000 Lille, France
*
Author to whom correspondence should be addressed.
Antibiotics 2021, 10(3), 303; https://doi.org/10.3390/antibiotics10030303
Submission received: 17 February 2021 / Revised: 10 March 2021 / Accepted: 12 March 2021 / Published: 15 March 2021
(This article belongs to the Special Issue Antibiotic Use in the Communities)

Abstract

The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.
Keywords: antibiotics; drug prescription; antibiotic stewardship; periodontal disease; survey antibiotics; drug prescription; antibiotic stewardship; periodontal disease; survey

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MDPI and ACS Style

Agossa, K.; Sy, K.; Mainville, T.; Gosset, M.; Jeanne, S.; Grosgogeat, B.; Siepmann, F.; Loingeville, F.; Dubar, M. Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices. Antibiotics 2021, 10, 303. https://doi.org/10.3390/antibiotics10030303

AMA Style

Agossa K, Sy K, Mainville T, Gosset M, Jeanne S, Grosgogeat B, Siepmann F, Loingeville F, Dubar M. Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices. Antibiotics. 2021; 10(3):303. https://doi.org/10.3390/antibiotics10030303

Chicago/Turabian Style

Agossa, Kevimy, Kadiatou Sy, Théo Mainville, Marjolaine Gosset, Sylvie Jeanne, Brigitte Grosgogeat, Florence Siepmann, Florence Loingeville, and Marie Dubar. 2021. "Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices" Antibiotics 10, no. 3: 303. https://doi.org/10.3390/antibiotics10030303

APA Style

Agossa, K., Sy, K., Mainville, T., Gosset, M., Jeanne, S., Grosgogeat, B., Siepmann, F., Loingeville, F., & Dubar, M. (2021). Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices. Antibiotics, 10(3), 303. https://doi.org/10.3390/antibiotics10030303

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