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Dentistry and Craniofacial Research
ISSN: 2576-392X
September 10-11, 2018
Zurich, Switzerland
Dental Treatment 2018
Page 14
25th International Conference on
Dental Treatment
Introduction: Antibiotics alongside with analgesics and local
anesthetics are the most frequently used drugs in dentistry.
Reliably structured figures concerning the actual number of
prescriptions of antibiotics by dentists are hardly available.
Materials & Methods: All antibiotic prescriptions of dentists
for patients who are members of statutory health insurances
in Germany from 1 January 2012 to 31 December 2015 were
included. The annual reports of the scientific institute of the AOK,
the biggest statutory health insurance in Germany, were used as
data basis. The types of antibiotics, the number of prescriptions
and the prescribed defined daily doses (DDD) were analyzed.
The results were compared to antibiotic prescriptions of German
physicians and to data of international studies.
Results: During the period of investigation an average of 8.8%
per year of all antibiotic prescriptions are issued by dentists.
Between 2012 and 2015 the dental share on all antibiotics fell by
12.1% (p<0.05). The mostly prescribed antibiotic is amoxicillin,
the share of which on all dental prescriptions increased from
35.6% in 2012 to 45.8% in 2015 (p<0.01). About three-quarters
of all dentally prescribed DDD can be attributed to amoxicillin and
clindamycin. On thepart of theGermanphysicians andcompared
to international studies the structure of the prescriptions ismuch
more heterogeneous.
Conclusion: Dental and medical antibiotic prescriptions in
Germany show statistically significant differences regarding the
types and the shares of the prescribed antibiotics. In the context
of international studies on dental prescribing behavior the high
proportion of clindamycin and the low share of metronidazole in
Germany are noticeable.
Biography
Frank Halling has completed his MD in 1984 and DMD in 1986 in University
of Marburg. He started his residency in Hamburg in 1988 and finished it in
the Department of Maxillofacial Surgery at the University Clinic of Göttin-
gen as Maxillofacial and Regional Plastic Surgeon. In 1993, he opened his
private practice in Fulda (1994 and 2006 additionally as an attending physi-
cian). He specialized on Laser Dentistry in 1999 and Dental Implantology in
2000 and got the fellowship of the International Team for Implantology (ITI)
in 2006. In 2008, he published a textbook on Dental Pharmacology. Since
2010 he lectures in Dental Pharmacology at the Department of Maxillofa-
cial Surgery, University of Marburg. He has held more than 200 specialist
presentations and seminars and has published 30 papers in reputed jour-
nals and has been serving as an Editorial Board Member.
Antibiotics in dentistry – facts and trends
in Germany
Frank Halling
University of Marburg, Germany
Frank Halling, J Dent Craniofac Res 2018, Volume 3
DOI: 10.21767/2576-392X-C3-007