Table 8.
Management of medical treatment, infection risk prevention procedures, and the type of complication of invasive procedures for patients taking immunosuppressants
|
All practitioners N = 103 (%)b |
Specialized dentist activitya N = 47 (%) |
General dentist activity N = 56 (%) |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Dry socket | |||||||||
| No | Yes | p-value | No | Yes | p-value | No | Yes | p-value | |
| Preoperative management of the medical treatment | |||||||||
| No modification | 43 (41.75) | 9 (8.74) | 0.07 | 17 (36.17) | 8 (17.02) | 0.05 | 26 (46.42) | 1 (1.79) | 0.95 |
| Discontinuation (different protocols) | 48 (46.60) | 3 (2.91) | 20 (42.55) | 2 (4.26) | 28 (50.00) | 1 (1.79) | |||
| Pre, per, and post operative dental-care protocol | |||||||||
| Antiseptic mouthwash | |||||||||
| Never | 15 (14.56) | 0 (0.00) | 0.12 | 7 (14.89) | 0 (0.00) | 0.13 | 8 (14.29) | 0 (0.00) | 0.55 |
| Ever (pre, per, and/or postoperative) | 76 (73.79) | 12 (11.65) | 30 (63.83) | 10 (21.28) | 46 (82.14) | 2 (3.57) | |||
| Antibiotics | |||||||||
| Never | 3 (2.91) | 0 (0.00) | 0.21 | 1 (2.13) | 0 (0.00) | 0.08 | 2 (3.57) | 0 (0.00) | 0.77 |
| Exclusively a single dose preoperatively | 13 (12.62) | 4 (3.88) | 4 (8.51) | 4 (8.51) | 9 (16.07) | 0 (0.00) | |||
| Exclusively antibiotic coverage/both single dose and antibiotic coverage | 75 (72.82) | 8 (7.77) | 32 (68.09) | 6 (12.76) | 43 (76.79) | 2 (3.57) | |||
| Delayed mucosal healing | |||||||||
| No | Yes | p-value | No | Yes | p-value | No | Yes | p-value | |
| Preoperative management of the medical treatment | |||||||||
| No modification | 40 (38.84) | 12 (11.65) | 0.01 | 15 (31.91) | 10 (21.28) | 0.01 | 25 (44.64) | 2 (3.57) | 0.51 |
| Discontinuation (different protocols) | 48 (46.60) | 3 (2.91) | 20 (42.55) | 2 (4.26) | 28 (50.00) | 1 (1.79) | |||
| Pre, per, and post operative dental-care protocol | |||||||||
| Antiseptic mouthwash | |||||||||
| Never | 15 (14.56) | 0 (0.00) | 0.08 | 7 (14.89) | 0 (0.00) | 0.09 | 8 (14.29) | 0 (0.00) | 0.46 |
| Ever (pre, per, and/or postoperative) | 73 (70.88) | 15 (14.56) | 28 (59.57) | 12 (25.54) | 45 (80.35) | 3 (5.36) | |||
| Antibiotics | |||||||||
| Never | 3 (2.91) | 0 (0.00) | 0.72 | 1 (2.13) | 0 (0.00) | 0.60 | 2 (3.57) | 0 (0.00) | 0.67 |
| Exclusively a single dose preoperatively | 14 (13.59) | 3 (2.91) | 5 (10.64) | 3 (6.38) | 9 (16.07) | 0 (0.00) | |||
| Exclusively antibiotic coverage/both single dose and antibiotic coverage | 71 (68.94) | 12 (11.65) | 29 (61.70) | 9 (19.15) | 42 (75.00) | 3 (5.36) | |||
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