State of the question about the importance of antiseptic treatment of the oral cavity before dental intervention (based on the results of a survey of specialized doctors)

Abstract

Annotation. The aim of the study is to determine the relevance of the use of local antiseptic agents in dental practice, as well as to identify the peculiarities of their use at surgical appointments based on the results of statistical analysis of questionnaire materials of dentists of various specialties. Objects and methods. Data on oral antiseptic treatment in dentistry were collected by anonymous questionnaire survey of dentists. The questionnaire included 19 questions about the antiseptic agents used, frequency of their use, adherence to clinical protocols during dental appointments, and factors influencing the choice of appropriate antiseptic agents. The obtained data were subjected to statistical processing. Results. The questionnaire survey showed that 91.89% of the respondents noted the need for preliminary antiseptic treatment of the surgical area before intervention. Chlorhexidine bigluconate (100%), hydrogen peroxide (45.45%), furacilin (33.33%) and povidoyiodine (21.21%) are the most frequently used antiseptic agents by surgical dentists. The factor of choice is the degree of reduction of microbial load, the duration of antimicrobial effect, the absence of adverse reactions, and the data of studies on the effectiveness of antiseptics in clinical practice. The list of adverse reactions and contraindications of antiseptic agents used was known to 94.59% and 85.14% of the questionnaire participants, respectively, with 54.05% noting adverse/negative reactions to antiseptic agents in their practice. Conclusion. The obtained results indicate the relevance of microbial decontamination issues for modern dental practice, which indicates the need for targeted development of personalized protocols for antiseptic preoperative preparation of patients taking into account their individual characteristics and oral microbiome.