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Table 7 Management of medical treatment, infection risk prevention procedures, and reporting of complications of invasive dental procedures for patients taking immunosuppressants

From: Management of dental care of patients on immunosuppressive drugs for chronic immune-related inflammatory diseases: a survey of French dentists’ practices

 

All practitioners

N = 103 (%)b

Specialized dentist activitya

N = 47 (%)

General dentist activity

N = 56 (%)

 

Complications after dental extraction(s)

No

Yes

p-value

No

Yes

p-value

No

Yes

p-value

Preoperative management of the medical treatment

 No modification

39 (37.86)

13 (12.62)

0.08

14 (29.79)

11 (23.40)

0.02

25 (44.64)

2 (3.57)

0.70

 Discontinuation (different protocols)

45 (43.69)

6 (5.83)

19 (40.43)

3 (6.38)

26 (46.43)

3 (5.36)

Pre, per, and postoperative dental-care protocol

Antiseptic mouthwash

  Never

15 (14.56)

0 (0.00)

0.04

7 (14.89)

0 (0.00)

0.06

8 (14.29)

0 (0.00)

0.33

  Ever (pre, per, and/or postoperative)

69 (67.00)

19 (18.45)

26 (55.32)

14 (29.79)

43 (76.78)

5 (8.93)

Antibiotics

  Never

3 (2.91)

0 (0.00)

0.34

1 (2.13)

0 (0.00)

0.33

2 (3.57)

0 (0.00)

0.88

  Exclusively a single dose preoperatively

12 (11.65)

5 (4.85)

4 (8.51)

4 (8.51)

8 (14.29)

1 (1.79)

  Exclusively antibiotic coverage/both single dose and antibiotic coverage

69 (67.00)

14 (13.59)

28 (59.57)

10 (21.28)

41 (73.21)

4 (7.14)

 

Complications after mucoperiosteal flap rising with bone resection/curetting

No

Yes

p-value

No

Yes

p-value

No

Yes

p-value

Preoperative management of the medical treatment

 No modification

46 (44.66)

6 (5.83)

0.01

20 (42.55)

5 (10.64)

0.02

26 (46.42)

1 (1.79)

0.29

 Discontinuation (different protocols)

51 (49.51)

0 (0.00)

22 (46.81)

0 (0.00)

29 (51.79)

0 (0.00)

Pre, per, and postoperative dental-care protocol

Antiseptic mouthwash

  Never

15 (14.56)

0 (0.00)

0.29

7 (14.89)

0 (0.00)

0.32

8 (14.29)

0 (0.00)

0.68

  Ever (pre, per, and/or postoperative)

82 (79.61)

6 (5.83)

35 (74.47)

5 (10.64)

47 (83.92)

1 (1.79)

Antibiotics

  Never

3 (2.91)

0 (0.00)

0.90

1 (2.13)

0 (0.00)

0.92

2 (3.57)

0 (0.00)

0.88

  Exclusively a single dose preoperatively

16 (15.54)

1 (0.97)

7 (14.89)

1 (2.13)

9 (16.07)

0 (0.00)

  Exclusively antibiotic coverage/both single dose and antibiotic coverage

78 (75.73)

5 (4.85)

34 (72.34)

4 (8.51)

44 (78.57)

1 (1.79)

  1. aSpecialized activity: oral surgery, periodontics, endodontics, pediatric dentistry
  2. bOnly practitioners who responded that they are concerned about the care of patients taking immunosuppressants (n = 103) were included in this analysis