Which antibiotics do dentist prescribe around the globe?
In order to observe as well as acquire the attitudes and habits of antibiotics usage in dentistry nowadays, we interview four dentists from different countries and cultures.
From left to right, Dr Aprim (Sweden), Dr Tarazona (Spain), Dr Chong (Malaysia) and Dr Chung (Taiwan).
We start our interview by asking: Which antibiotics do you usually use, and why?
“Amoxicillin. It has great effect and less side effect as well as resistance.”
“Amoxicillin, Amoxicillin plus clavulanic Acid and Erythromycin. They can be used on many cases and have good effects.”
Dr APRIM :
“Phenoxymethylpenicillin. It is the one that works for the most of the times and is the one that has become the most ordinary, the guidelines says that this compound is the first hand choice when it comes to antibiotics.”
“Amoxicillin and Clavulanic acid. They are for anaerobic bacteria in the mouth. Clavulanic acid is for gram negative bacteria. Bacteria in the mouth is best treatable with amoxicillin.”
Our second question: What precaution do you have to consider when you use antibiotics?
“Only when pus formation or acute inflammation occurred, I use them. If the patient suffers from chronic inflammation or non-severe case, I will clean the wound and rely on the immune system of patients”
“Be careful for patients with allergy, and the health condition of patient, such as renal disease and metabolism disease. Most important, make sure that patient will take the antibiotic with the indication.”
Dr APRIM :
“Patients that develops resistance if given under wrong circumstances. When we deal with patients with allergies, we change kåvepenin to clindamycin. You only give antibiotics if patient fulfills the criteria’s and there is 3 of them.”
“Make sure that patients take it every 8 hours with food in order to do not hurt the stomach.”
Our next question: What is the ideal antibiotic for you?
“No resistance, no side effect” he laughed.
“Broad application, no allergy, great effect, and minimum price.”
Dr APRIM :
“The ideal antibiotic is the one who kills and inhibits the bacterial growth without developing resistance and which has no side effects towards the patient.”
And, finally, Do you think antibiotics can be replaced by other treatments?
“In my viewpoint, I think there’s no way to replace it, but maybe after many years, human can invent stable genetic treatment to inhibit bacteria’s growth.” he sighed.
“It’s difficult to be replaced. If we don’t use antibiotics, patients can only recover with their own immune system, and it’s hard.”
This interview was performed by Hsi-Che Chong, Huang-Hsiang Chung, Yi-Chi Cheng, Carme Azalea and Daniel Mikhail, second year students in Microbiology and Virology. Special thanks to the interviewed doctors!!!!!