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INTRODUCTION Antibiotic use is common in periodontal treatments for preventing postoperative infections. However, due to the need for more information about prescribing patterns amongst periodontists in Turkey, this study aimed to investigate the tendency of prescribing systemic antibiotics in Turkey. METHODS This survey was distributed to 108 periodontists in clinical practice at university/private clinics in Turkey in March–July 2020. Demographic characteristics of participants, their use of systemic antibiotics, and their type/dose/timing for surgical/non-surgical periodontal treatments were obtained. RESULTS In all, 55.6% of participants indicated that they prescribed antibiotics as adjunct to non-surgical periodontal treatment. Amoxicillin Clavulanic Acid (AMC) + Metronidazole (ME) combination was the most prescribed (48.3%) among others. Respondents were more likely to prescribe antibiotics for surgical periodontal therapy (77.8%), and most of them (66.7%) let patients take antibiotics after completion of surgical treatment, 29.8% both before and after surgery. AMC (63.1%) and AMC + ME (27.4%) were most prescribed for surgical periodontal treatment. Most of the participants prefer to advise systemic antibiotics following allogeneic (80%) or heterogeneous (57.4) tissue graft applications, and nearly half of them (42.6%) prescribed antibiotics after autogenous graft applications. CONCLUSIONS The prevalence of systemic antibiotic prescription was relatively high among periodontists in Turkey. These results are beneficial for the development of practice guidelines in Turkey. The necessity of having a guideline in using antibiotics in cases of periodontal disease, periodontal surgery and periimplantitis, has once again been demonstrated. |
