{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T05:15:05Z","timestamp":1790486105720,"version":"4.1.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"abstract":"<jats:p>Abstract Antibiotic resistance is a growing public health concern. Antibiotics continue to be prescribed by some clinicians to resolve dental pain even though research indicates that antibiotics are not effective for treating conditions such as irreversible pulpitis. The objective of this study was to determine the extent to which current research and evidence around irreversible pulpitis has been translated into dental practice and the gaps in dentists\u2019 knowledge. An on-line clinical vignette format survey questionnaire about treatment of irreversible pulpitis was distributed to the members of the Academy of Operative Dentistry and Academy of General Dentistry (US based international dental bodies). Their responses were recorded and evaluated. A total of 403 dentists participated in the survey. Over a third (39.3%) indicated they would prescribe antibiotics for symptomatic irreversible pulpitis in a permanent tooth occurring without any signs of systemic infection. The rest indicated they would not prescribe antibiotics; most of them would prescribe an analgesic combined with pulpectomy. Those who had undertaken advanced education training achieved a significantly higher mean knowledge score compared to those with just a primary dental degree (p=0.011). Similarly, full or part time academicians had a higher mean knowledge score than the clinicians who work only in private practice (p=0.014). Some dentists continue to prescribe antibiotics inappropriately for alleviating pain due to irreversible pulpitis. Antibiotic prescribing practices of dentists with advanced education or academic engagement were better as compared to the other participants. There is clear evidence of antibiotic over-prescribing for irreversible pulpitis which needs to be addressed urgently.<\/jats:p>","DOI":"10.1590\/0103-6440201902873","type":"journal-article","created":{"date-parts":[[2019,7,20]],"date-time":"2019-07-20T15:30:07Z","timestamp":1563636607000},"page":"374-379","source":"Crossref","is-referenced-by-count":25,"title":["Irreversible Pulpitis - A Source of Antibiotic Over-Prescription?"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3611-0063","authenticated-orcid":false,"given":"Anirudha","family":"Agnihotry","sequence":"first","affiliation":[{"name":"Family HealthCare Network,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0564-5863","authenticated-orcid":false,"given":"Karanjot Singh","family":"Gill","sequence":"additional","affiliation":[{"name":"University of Detroit Mercy,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard G","family":"Stevenson III","sequence":"additional","affiliation":[{"name":"Stevenson Dental Solutions,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3952-965X","authenticated-orcid":false,"given":"Zbys","family":"Fedorowicz","sequence":"additional","affiliation":[{"name":"Veritas Health Sciences Consultancy,  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Public Health Dentistry MDS 2018, Government Dental College and Research Institute, Victoria Hospital,  India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8529-4727","authenticated-orcid":false,"given":"Julie","family":"Sprakel","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5892-1641","authenticated-orcid":false,"given":"Stephen","family":"Cohen","sequence":"additional","affiliation":[{"name":"University of the Pacific,  USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6799-4087","authenticated-orcid":false,"given":"Wendy","family":"Thompson","sequence":"additional","affiliation":[{"name":"University of Leeds, Worsley Building,  United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1086\/510393","article-title":"Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship","volume":"44","author":"Dellit TH","year":"2007","journal-title":"Clin Infect Dis"},{"key":"ref2","series-title":"Centers for Disease Control and Prevention. 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