Experience of Malaysian Undergraduate Dental Students on the Appropriate Use of Systemic Antibiotics for Endodontic Pathology

Authors

  • Siti Hajar Omar Department of Conservative and Prosthodontic, Faculty of Dentistry, Universiti Sains Islam Malaysia (USIM), Kuala Lumpur, Malaysia
  • Jing Wei Choong Department of Operative, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia
  • Jhia Shen Tan Department of Operative, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia
  • Safura Anita Baharin Department of Operative, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.22452/adum.vol32.3

Keywords:

endodontic infections, dental student survey, experiences, antibiotics

Abstract

This study aims to explore experiences of Malaysian undergraduate dental students on the appropriate use of systemic antibiotics for pulp and periapical pathology. Final-year students from thirteen Malaysian dental schools were invited to participate in an online survey on the use of systemic antibiotics for treatment of pulp and periapical infections. The questionnaire was divided into i) respondents’ demographic data; ii) experiences and practices related to antibiotic use in managing endodontic pathology. Two open-ended questions were included to assess awareness on i) existing guidelines for prescribing antibiotics for endodontic pathology; ii) consequences of overprescribing antibiotics.  Response rate was 100%. Amoxicillin (with or without clavulanic acid) (85.0%) was the most used antibiotic while clindamycin (53.7%) was chosen for penicillin-allergic patients. Antibiotic treatment was carried out for five-day duration. Cases of acute apical abscess with systemic involvement received the most antibiotic prescriptions (88.5%). A considerable number of students inappropriately prescribe antibiotics for asymptomatic apical periodontitis with or without sinus tract (29.0%) and reversible pulpitis (5.6%). 87.0% of respondents were aware of detrimental effects of antibiotics overuse. Despite high awareness on antibiotics’ side effects, some students still prescribe antibiotics unnecessarily. Enhancement of undergraduate endodontic education is highly recommended to avoid unnecessary antibiotic prescriptions.

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Published

2025-05-15

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Section

Original/Research Article