European Society of Endodontology position statement: the use of antibiotics in endodontics

J J Segura-Egea; K Gould; B Hakan Şen; P Jonasson; E Cotti; A Mazzoni; H Sunay; L Tjäderhane; P M H Dummer

doi:10.1111/iej.12781

European Society of Endodontology position statement: the use of antibiotics in endodontics

Int Endod J. 2018 Jan;51(1):20-25. doi: 10.1111/iej.12781. Epub 2017 Jun 14.

Authors

J J Segura-Egea¹, K Gould², B Hakan Şen³, P Jonasson⁴, E Cotti⁵, A Mazzoni⁶, H Sunay⁷, L Tjäderhane^{8

9}, P M H Dummer¹⁰

Affiliations

¹ Department of Endodontics, School of Dentistry, University of Sevilla, Sevilla, Spain.
² Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
³ Private Practice, Alsancak, Izmir, Turkey.
⁴ Department of Endodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
⁵ Department of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Sardinia, Italy.
⁶ Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Bologna, Italy.
⁷ Department of Endodontology, Dental Faculty of Istanbul, Kemerburgaz University, Istanbul, Turkey.
⁸ Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
⁹ Research Unit of Oral Health Sciences, Medical Research Center Oulu (MRC Oulu), University Hospital and University of Oulu, Oulu, Finland.
¹⁰ School of Dentistry, College of Biomedical & Life Sciences, Cardiff University, Cardiff, UK.

PMID: 28436043
DOI: 10.1111/iej.12781

Abstract

This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on Antibiotics in Endodontics. The statement is based on current scientific evidence as well as the expertise of the committee. The goal is to provide dentists and other healthcare workers with evidence-based criteria for when to use antibiotics in the treatment of endodontic infections, traumatic injuries of the teeth, revascularization procedures in immature teeth with pulp necrosis, and in prophylaxis for medically compromised patients. It also highlights the role that dentists and others can play in preventing the overuse of antibiotics. A recent review article provides the basis for this position statement and more detailed background information (International Endodontic Journal, 2017, https://doi.org/10.1111/iej.12741). Given the dynamic nature of research in this area, this position statement will be updated at appropriate intervals.

Keywords: antimicrobial agents; apical periodontitis; endodontic infection; periapical periodontitis; pulpitis.

Publication types

Practice Guideline
Review

MeSH terms

Anti-Bacterial Agents / therapeutic use*
Antibiotic Prophylaxis
Contraindications, Drug
Endodontics / standards*
Humans
Infections / drug therapy
Periapical Abscess / drug therapy
Tooth Injuries / drug therapy
Tooth Replantation

Substances

Anti-Bacterial Agents