Is it necessary to take Antibiotic Prophylaxis among the Diabetic Patients before Dental Treatments? A Systematic Review

Abstract

Introduction: It is the duty of all dentists to prevent the infection and diagnose the conditions in which the highly morbid infections likely occur among the patients with diabetes after the dental treatments. It can prevent them by injecting the antibiotic prophylactic or minimize their occurrence as much as possible. In this review study, attempts were made to reveal thoroughly the necessity of antibiotic prophylaxis among the patients with diabetes during the dental treatments

Materials and methods: In this systematic review, articles in databases of Google Scholar, PubMed and SCOPUS were searched during 1990–2020. All information was classified within a table.

Results: In searching the aforementioned databases and concerning the intended time interval, 169 articles were found in connection to the searched words through the abstract. Once the repetitive titles and articles were deleted, 50 articles were selected which decreased to 16 articles by closer examination of review team. Their full texts were reviewed. For the final selection, 10 out of 16 articles had the entry criteria and included the objectives of present study.

Conclusion: In order to perform dental selective treatments such as the tooth extraction, root treatment and other treatments with risk of infection, the maximum fasting blood glucose levels are 180 mg/dl and the maximum random blood glucose level is 234 mg/dl for emergency dental treatments.