Management of odontogenic infections in Primary Care: Antibiotic?

• Published in: Atención primaria Vol. 49; no. 10; p. 611
• Main Authors: Robles Raya, Purificación, Javierre Miranda, Ana Pilar, Moreno Millán, Nemesio, Mas Casals, Ariadna, de Frutos Echániz, Elena, Morató Agustí, M Luisa
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.12.2017
• Subjects: Anti-Bacterial Agents - therapeutic use; Dental Caries - drug therapy; Dental Caries - microbiology; Gingivitis - drug therapy; Gingivitis - microbiology; Humans; Peri-Implantitis - drug therapy; Peri-Implantitis - microbiology; Periodontitis - drug therapy; Periodontitis - microbiology; Primary Health Care; Pulpitis - drug therapy; Pulpitis - microbiology; Odontogenic infections; Odontología basada en la evidencia; Evidence-based dentistry; Antimicrobial agents; Dental infection control; Antibiotic prophylasis; Infecciones odontogénicas; Profilaxis antibiótica; Agentes antimicrobianos; Control de la infección dental
• ISSN: 1578-1275; 1578-1275
• DOI: 10.1016/j.aprim.2017.05.003

Our aim is to contribute to the rational use of antibiotics prescribed by family doctors when a patient consults for a dental problem. Nowadays we should not ask which antibiotic to give. The question has to be if we need to prescribe antibiotics in front of the most common odontogenic infections seen in our practice. We review the main dental infections, which should be their appropriate management and the role of prevention. We need to know the complexity of the oral microbiome because it?ll depend on the appropriateness of the antibiotherapy, the evolution towards cure or progression of some odontogenic infections. The bacterial plaque, formed by the biofilm, behaves as a barrier to the action of antimicrobials. It?s in the prevention of its development as well as in it mechanical elimination once shaped, in what the family doctor should insist. We must transmit antibiotics don?t heal dental pain.