Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Is Antibiotics Overuse Justified When Immediate Intervention Is Not Possible? A Rapid Evidence Review

Version 1 : Received: 12 May 2021 / Approved: 14 May 2021 / Online: 14 May 2021 (14:03:42 CEST)

A peer-reviewed article of this Preprint also exists.

Journal reference: Research Results in Pharmacology 2021, 7, 41-46
DOI: 10.3897/rrpharmacology.7.77709


This review revisits clinical use of antibiotics for most common acute oro-dental conditions; we aim to provide evidence governing antibiotics use when access to oral healthcare is not available, as during the ongoing outbreak of the severe acute respiratory syndrome coronavirus 2. In this rapid review, articles were retrieved after conducting a search on PubMed and Google Scholar. Relevant publications were selected and analyzed. Most recent systematic reviews with/without meta-analyses and societal guidelines were selected. Data were extracted, grouped, and synthesized according to the respective subtopic analysis. There were evidence supporting the use of antibiotics in common oro-dental conditions as temporary measure when immediate care is not accessible, such as in case of localized oral swellings as well as to prevent post-extraction complications. No sufficient evidence could be found in support of antibiotic use for pain resulting from pulpal origin. Consequently, antibiotic use may be justified to defer treatment temporarily or reduce risk of complications in case of localized infection and tooth extraction, when no access to immediate dental care is possible.


antibacterial agents; antibiotics; COVID-19; drug misuse; odontogenic infection



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