Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study

<b>Background/Objectives</b>: This study aimed to explore antibiotic prescribing practices for dental implant placement in Croatia. <b>Methods</b>: We conducted a cross-sectional questionnaire-based study including dentists in Croatia who perform dental implant therapy. The q...

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Main Authors: Mare Ković, Ajka Pribisalić, Joško Viskić, Jure Martinić, Josipa Grubišić, Ante Vardić, Tina Poklepović Peričić
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/1/47
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author Mare Ković
Ajka Pribisalić
Joško Viskić
Jure Martinić
Josipa Grubišić
Ante Vardić
Tina Poklepović Peričić
author_facet Mare Ković
Ajka Pribisalić
Joško Viskić
Jure Martinić
Josipa Grubišić
Ante Vardić
Tina Poklepović Peričić
author_sort Mare Ković
collection DOAJ
description <b>Background/Objectives</b>: This study aimed to explore antibiotic prescribing practices for dental implant placement in Croatia. <b>Methods</b>: We conducted a cross-sectional questionnaire-based study including dentists in Croatia who perform dental implant therapy. The questionnaire assessed the dentists’ age, working experience, education level, and whether they use antibiotics for dental implant placement, as well as the choice of antibiotics, timing, and reasons for antibiotics use. We used snowball and convenient sampling methods for recruiting dentists. Categorical data were described as absolute numbers and percentages. Differences in the use of antibiotics for specific health conditions were analyzed using Chi-Square, with <i>p</i> < 0.05. <b>Results:</b> Overall, 74 dentists completed the survey. The dentists used antibiotics either before and after (N = 37, 48.7%), before (N = 21; 27.6%), or after dental implant placement (N = 17, 22.4%). Most used Amoxicillin (N = 47, 61.8%), or Amoxicillin–clavulanic acid (N = 22, 28.9%). Almost all dentists used antibiotics in patients with artificial heart valves (N = 73, 97.3%) and a history of infective endocarditis (N = 74, 98.7%). Also, the dentists reported using antibiotics in patients with artificial joints (N = 52, 69.3%), diabetes (N = 48, 64%), HIV (N = 51, 34.2%), or those on antiresorptive drugs (N = 46, 61.3%), with 17 dentists (22.7%) prescribing antibiotics to all (<i>p</i> < 0.001). The main reasons for antibiotic prophylaxis were preventing complications at the implant site (N = 56; 73.7%) and reducing the early implant failure rate (N = 32; 42.1%). Around one-third of the dentists (34.2%) used antibiotics for their own safety. <b>Conclusions</b>: Croatian dentists may be overprescribing antibiotics during dental implant placement. Clear recommendations concerning antibiotic prophylaxis for dental implant therapy are needed to make well-informed clinical decisions.
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series Antibiotics
spelling doaj-art-e9002195610e458e868b6bef888810062025-01-24T13:18:43ZengMDPI AGAntibiotics2079-63822025-01-011414710.3390/antibiotics14010047Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional StudyMare Ković0Ajka Pribisalić1Joško Viskić2Jure Martinić3Josipa Grubišić4Ante Vardić5Tina Poklepović Peričić6Private Dental Office, 21000 Split, CroatiaDepartment of Health Studies, University of Split, 21000 Split, CroatiaDepartment of Fixed Prosthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, CroatiaZagreb County Public Health Dental Office, 10000 Zagreb, CroatiaStudy of Dental Medicine, University of Split School of Medicine, 21000 Split, CroatiaSplit-Dalmatia County Public Health Dental Office, 21000 Split, CroatiaDepartment of Prosthodontics, Study of Dental Medicine, University of Split School of Medicine, 21000 Split, Croatia<b>Background/Objectives</b>: This study aimed to explore antibiotic prescribing practices for dental implant placement in Croatia. <b>Methods</b>: We conducted a cross-sectional questionnaire-based study including dentists in Croatia who perform dental implant therapy. The questionnaire assessed the dentists’ age, working experience, education level, and whether they use antibiotics for dental implant placement, as well as the choice of antibiotics, timing, and reasons for antibiotics use. We used snowball and convenient sampling methods for recruiting dentists. Categorical data were described as absolute numbers and percentages. Differences in the use of antibiotics for specific health conditions were analyzed using Chi-Square, with <i>p</i> < 0.05. <b>Results:</b> Overall, 74 dentists completed the survey. The dentists used antibiotics either before and after (N = 37, 48.7%), before (N = 21; 27.6%), or after dental implant placement (N = 17, 22.4%). Most used Amoxicillin (N = 47, 61.8%), or Amoxicillin–clavulanic acid (N = 22, 28.9%). Almost all dentists used antibiotics in patients with artificial heart valves (N = 73, 97.3%) and a history of infective endocarditis (N = 74, 98.7%). Also, the dentists reported using antibiotics in patients with artificial joints (N = 52, 69.3%), diabetes (N = 48, 64%), HIV (N = 51, 34.2%), or those on antiresorptive drugs (N = 46, 61.3%), with 17 dentists (22.7%) prescribing antibiotics to all (<i>p</i> < 0.001). The main reasons for antibiotic prophylaxis were preventing complications at the implant site (N = 56; 73.7%) and reducing the early implant failure rate (N = 32; 42.1%). Around one-third of the dentists (34.2%) used antibiotics for their own safety. <b>Conclusions</b>: Croatian dentists may be overprescribing antibiotics during dental implant placement. Clear recommendations concerning antibiotic prophylaxis for dental implant therapy are needed to make well-informed clinical decisions.https://www.mdpi.com/2079-6382/14/1/47antibioticsdental implantsCroatiadentistscross-sectionalquestionnaire
spellingShingle Mare Ković
Ajka Pribisalić
Joško Viskić
Jure Martinić
Josipa Grubišić
Ante Vardić
Tina Poklepović Peričić
Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
Antibiotics
antibiotics
dental implants
Croatia
dentists
cross-sectional
questionnaire
title Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
title_full Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
title_fullStr Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
title_full_unstemmed Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
title_short Antibiotic Prophylaxis Prescribing Practices for Dental Implant Placement in Croatia: A Questionnaire-Based Cross-Sectional Study
title_sort antibiotic prophylaxis prescribing practices for dental implant placement in croatia a questionnaire based cross sectional study
topic antibiotics
dental implants
Croatia
dentists
cross-sectional
questionnaire
url https://www.mdpi.com/2079-6382/14/1/47
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