RESUMO
The purpose of this study was to identify and compare the antibiotic prescription trends in the management of endodontic infections between general and specialist dental practitioners in the region of Delhi & NCR. Methods: 300 questionnaires were distributed amongst dentists practicing in the region of Delhi, Ghaziabad & Gurgaon. Each questionnaire had 20 questions. Out of 300, only 247 were returned or deemed useful. The data was analyzed using descriptive statistics and chi-square test of significance. Results: 83 % of general dental practitioners (GDP) and 69.6% specialist dental practitioners (SDP) prescribe antibiotics for routine endodontic treatment. For patients with no history of drug allergy, the most commonly prescribed antibiotic was amoxicillin and clavulanic acid. In patients with uncertain diagnosis, 15.1% of GDP prescribe antibiotics compared with 13.9% of SDP. In the case of intraoral swelling 91.8% of general dental practitioners chose to prescribe antibiotics compared with 87.3% of specialist dental practitioners (SDP), in the scenario of retreatment, general dental practitioners (54.2%) prescribed antibiotics similar to specialist dental practitioners (53.8%). The average number of days of antibiotic prescription was 5 days. Visits from medical representatives affected the choice of drug prescribed by 35%. Conclusion: Dentists tend to overprescribe medication during routine endodontic treatment. GDP overprescribe antibiotics significantly more than SDP for the same.
RESUMO
Incisors are common teeth to suff er dental trauma, with root fracture occurring in <3% of injuries. Horizontal root fractures occur mainly in the middle third of root mostly aff ect upper central incisors. Nevertheless, apical and coronal 3rd fracture is also sometimes reported. Th e fracture may go undiagnosed for many years until the patient reports with discolored, mobile tooth which on radiograph reveals a break in continuity of the root. Th is paper reports the management of three horizontal root fractures (delayed and immediate) in upper incisors; two treated with mineral trioxide aggregate and calamus (Dentsply) for warm vertical obturation and one with fi ber post.