Abstract | OBJECTIVE: To describe the knowledge and practices of New Zealand (NZ) General Dental Practitioners (GDPs) concerning the use of steroid prophylaxis. METHODS: An online survey was conducted in 2013 involving a sample of 500 NZ GDPs who met inclusion criteria and had email addresses on the Dental Council register. RESULTS: A total of 214 dentists responded, giving a 44.5% response rate after accounting for undelivered questionnaires. Nearly two-thirds (61 .7%) did not currently recommend corticosteroid prophylaxis, although nearly three-quarters (74.8%) believed that dental treatment posed a potential risk to patients with adrenal suppression. Over half (53.4%) believed that oral corticosteroids could cause adrenocortical suppression, and a similar proportion (58.3%) believed that a specific dose of oral prednisolone of 7.5 mg per day could do so. Most practitioners (79.6%) supported the formulation of steroid prophylaxis guidelines. CONCLUSION: Despite most NZ GDPs believing the dental setting to pose a risk of adrenal crisis for patients taking corticosteroids, there is some confusion among dentists identifying at-risk patients and their ability to manage if such an event was to occur in their practices. There is further confusion over whether steroid prophylaxis is warranted for perceived at-risk patients, and which regime to follow when it is. There is an associated tendency to be over-cautious when determining the need for steroid prophylaxis, and to rely on their undergraduate steroid prophylaxis guidelines when doing so. There is a need for evidence-based guidelines to be formulated by an expert panel.
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Authors | A Coetzee, E L Goodhew, H L De Silva, W M Thomson |
Journal | The New Zealand dental journal
(N Z Dent J)
Vol. 112
Issue 4
Pg. 102-107
(Dec 2016)
ISSN: 0028-8047 [Print] New Zealand |
PMID | 29694755
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adrenal Cortex Hormones
(therapeutic use)
- Adrenal Insufficiency
(prevention & control)
- Clinical Competence
- Dental Care
- Dentists
- Female
- General Practice, Dental
- Health Knowledge, Attitudes, Practice
- Humans
- Male
- New Zealand
- Practice Patterns, Dentists'
- Premedication
- Surveys and Questionnaires
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