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. 2022 Oct 17;13:1321–1328. doi: 10.2147/AMEP.S376333

Table 3.

Antibiotic Prescription on Different Clinical Scenarios

Clinical Scenarios Gender Antibiotic Prescription n (%) No Antibiotic Prescription n (%) p-value
Case scenario 1:
Medically fit patient present to your clinic complaining from tooth # 12 exhibits an apical radiolucency. There is history of root canal treatment 8 years ago. There is no response to Endo-Ice, and there is tenderness to percussion and palpation. Is it recommended to prescribe an antibiotic for such case?
Male 43 (20.5) 167 (79.5) 0.278
Female 58 (16.8) 287 (83.2)
Total 101 (18.2) 454 (81.8)
Case scenario 2:
Medically fit patient present to your clinic complaining from tooth # 12 exhibits an apical radiolucency and puss discharge with sinus tract. Upon clinical diagnosis the pulpal diagnosis is necrotic, and periapical diagnosis is chronic apical abscess. Is it recommended to prescribe an antibiotic for such case?
Male 115 (54.8) 95 (45.2) 0.599
Female 181 (52.5) 164 (47.5)
Total 296 (53.3) 259 (46.7)
Case scenario 3:
Patient present to your clinic with history of prosthetic cardiac valves complaining from tooth # 22 exhibits an apical radiolucency. Upon clinical diagnosis the pulpal diagnosis is necrotic, and periapical diagnosis is chronic symptomatic apical periodontitis. Is it recommended to prescribe an antibiotic for such case?
Male 131 (62.4) 79 (37.6) 0.215
Female 233 (67.5) 112 (32.5)
Total 364 (65.6) 191 (34.4)