Table 7.
Management of medical treatment, infection risk prevention procedures, and reporting of complications of invasive dental procedures for patients taking immunosuppressants
|
All practitioners N = 103 (%)b |
Specialized dentist activitya N = 47 (%) |
General dentist activity N = 56 (%) |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Complications after dental extraction(s) | |||||||||
| No | Yes | p-value | No | Yes | p-value | No | Yes | p-value | |
| Preoperative management of the medical treatment | |||||||||
| No modification | 39 (37.86) | 13 (12.62) | 0.08 | 14 (29.79) | 11 (23.40) | 0.02 | 25 (44.64) | 2 (3.57) | 0.70 |
| Discontinuation (different protocols) | 45 (43.69) | 6 (5.83) | 19 (40.43) | 3 (6.38) | 26 (46.43) | 3 (5.36) | |||
| Pre, per, and postoperative dental-care protocol | |||||||||
| Antiseptic mouthwash | |||||||||
| Never | 15 (14.56) | 0 (0.00) | 0.04 | 7 (14.89) | 0 (0.00) | 0.06 | 8 (14.29) | 0 (0.00) | 0.33 |
| Ever (pre, per, and/or postoperative) | 69 (67.00) | 19 (18.45) | 26 (55.32) | 14 (29.79) | 43 (76.78) | 5 (8.93) | |||
| Antibiotics | |||||||||
| Never | 3 (2.91) | 0 (0.00) | 0.34 | 1 (2.13) | 0 (0.00) | 0.33 | 2 (3.57) | 0 (0.00) | 0.88 |
| Exclusively a single dose preoperatively | 12 (11.65) | 5 (4.85) | 4 (8.51) | 4 (8.51) | 8 (14.29) | 1 (1.79) | |||
| Exclusively antibiotic coverage/both single dose and antibiotic coverage | 69 (67.00) | 14 (13.59) | 28 (59.57) | 10 (21.28) | 41 (73.21) | 4 (7.14) | |||
| Complications after mucoperiosteal flap rising with bone resection/curetting | |||||||||
| No | Yes | p-value | No | Yes | p-value | No | Yes | p-value | |
| Preoperative management of the medical treatment | |||||||||
| No modification | 46 (44.66) | 6 (5.83) | 0.01 | 20 (42.55) | 5 (10.64) | 0.02 | 26 (46.42) | 1 (1.79) | 0.29 |
| Discontinuation (different protocols) | 51 (49.51) | 0 (0.00) | 22 (46.81) | 0 (0.00) | 29 (51.79) | 0 (0.00) | |||
| Pre, per, and postoperative dental-care protocol | |||||||||
| Antiseptic mouthwash | |||||||||
| Never | 15 (14.56) | 0 (0.00) | 0.29 | 7 (14.89) | 0 (0.00) | 0.32 | 8 (14.29) | 0 (0.00) | 0.68 |
| Ever (pre, per, and/or postoperative) | 82 (79.61) | 6 (5.83) | 35 (74.47) | 5 (10.64) | 47 (83.92) | 1 (1.79) | |||
| Antibiotics | |||||||||
| Never | 3 (2.91) | 0 (0.00) | 0.90 | 1 (2.13) | 0 (0.00) | 0.92 | 2 (3.57) | 0 (0.00) | 0.88 |
| Exclusively a single dose preoperatively | 16 (15.54) | 1 (0.97) | 7 (14.89) | 1 (2.13) | 9 (16.07) | 0 (0.00) | |||
| Exclusively antibiotic coverage/both single dose and antibiotic coverage | 78 (75.73) | 5 (4.85) | 34 (72.34) | 4 (8.51) | 44 (78.57) | 1 (1.79) | |||
aSpecialized activity: oral surgery, periodontics, endodontics, pediatric dentistry
bOnly practitioners who responded that they are concerned about the care of patients taking immunosuppressants (n = 103) were included in this analysis