General dentists’ knowledge and practice about corticosteroid prescription
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Medical Education Research Center, Dental Sciences Research Center, Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
Dental Sciences Research Center, Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
Private practice in Rasht, Iran
Submission date: 2018-02-26
Final revision date: 2018-08-03
Acceptance date: 2018-08-04
Online publication date: 2019-09-13
Corresponding author
Maryam Basirat   

Medical Education Research Center, Dental Sciences Research Center, Department of Oral and Maxillofacial Medicine, School of Dentistry, Guilan University of Medical Sciences, 41941-73774 Rasht, Iran. Tel.: +981333486411, Fax: +981333486423.
Pol. Ann. Med. 2019;26(2):114-119
Lack of adequate familiarity with indications, contraindications, and possible complications of corticosteroid prescription may lead dentists toward unreasonable administration of these drugs, which can be deleterious to patients’ health and their quality of life.

The aim of this study was to evaluate general dentists’ knowledge and practice about corticosteroid prescription during 2016 in Rasht, Iran.

Material and methods:
This cross-sectional descriptive study was performed through a census using a valid self-made questionnaire pertaining to demographic information, knowledge, practice and opinion assessment questions. The questionnaire was completed by 110 general dentists and the data were analyzed using SPSS v. 16. Mann–Whitney and Kruskal–Wallis tests were used in this study. The significance level was set at P < 0.05.

Results and discussion:
The median dentist’s knowledge score was 5 (out of 7) with 58% frequency. Eighty two (78.2%) of the dentists were in the medium knowledge level, while 32 (29%) of them had prescribed corticosteroids in necrotic teeth with cellulite and diffused swelling, a decision that can lead to intensification and expansion of infectious complications. There was no statistical correlation between knowledge and also the practice of dentists and their age, sex, work experience, and the dental school where they had graduated from.

This study illustrated that Rasht dentists’ knowledge about indications, contraindications, and complications of corticosteroid prescription has deficiencies which should be addressed by more appropriate syllabi in dental schools, continuing education workshops, and pamphlets.

The authors would like to appreciate the cooperation of dentists participated in this study and Dr Asieh Ashoori for statistical analysis and Dr Rasoul Tabari for software consultation. This article has been adapted from the undergraduate thesis of Dr Zahra Dadvar in Guilan University of Medical Science (registration number: 1562).
None declared.
None declared.
Sambandam V, Neelakantan P. Steroids in dentistry – A review. Int J Pharm Sci Rev Res. 2013;22(2):240–245.
Saravanan T, Subha M, Prem P, Venkatesh A. Corticosteroids – its role in oral mucosal lesions. Int J Pharm Bio Sci. 2014;5(4):439–446.
Liu D, Ahmet A, Ward L, et al. A practical guide to the monitoring and management of the complications of systemic corticosteroid therapy. Allergy Asthma Clin Immunol. 2013;9(1):30.
Longui CA. Glucocorticoid therapy: minimizing side effects. J Pediatr. 2007;83(5 Suppl):S163–S171.
Rathi SK, D’Souza P. Rational and ethical use of topical corticosteroids based on safety and efficacy. Indian J Dermatol. 2012;57(4):251–259.
Savage N, McCullough M. Topical corticosteroids in dental practice. Aust Dent J. 2005;50(4 Suppl 2):S40–S44.
Panat SR, Upadhyay N, Khan M, Iqubal MA. Corticosteroids used in dentistry: An update. J Dent Sci Oral Rehab. 2014;5(2):89–92.
Kia SJ, Behravesh M, Khalighi Sigaroudi A. Evaluation of drug prescription pattern among general dental practitioners in Rasht, Iran. 3DJ. 2012;1(2):18–23.
Weinberg MA, Theile CW, Fine JB. Oral Pharmacology for the Dental Hygienist. 2nd Ed. London: Pearson Education. 2012.
Hashemipour M, Ataie Z, Orandi S. The knowledge and practice of dentists about medical emergency in private dental offices. J Dent Shiraz Univ Med Sci. 2009;10:222–233.
Glick M. Burket’s Oral Medicine. 12th Ed. Raleigh, NC, USA: PMPH-USA; 2015.
Malamed SF. Medical Emergencies in the Dental Office-E-Book. St. Louis, Mo: Mosby, Elsevier; 2014.
Pakfetrat A, Hoseinpour Jajarm H, Basirat M, Javadzade Bolouri A, Delavarian Z, Shakeri MT. Evaluation of the diagnostic accuracy of oral and maxillofacial lesions in referred patients to oral medicine department of mashhad dental school and the educational implications. Future Med Educ J. 2015;5(1):52–57.
Miller CS, Epstein JB, Hall EH, Sirois D. Changing oral care needs in the United States: the continuing need for oral medicine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(1):34–44.
Villa A, Stock S, Aboalela A, et al. Oral Medicine referrals at a hospital-based practice in the United States. Oral Surg Oral Med Oral Pathol Oral Radio. 2015;119(4):423–9.
Shamszadeh S, Shirvani A, Eghbal MJ, Asgary S. Efficacy of corticosteroids on postoperative endodontic pain: A systematic review and meta-analysis. J Endod. 2018;44(7):1057–1065.
Krishnan K. Role of corticosteroids in oral and maxillofacial surgery. JPSR. 2018;10(1):208–210.
Soleymani F, Haerizadeh M, Farshchi A. Economic burden of irrational use of injectable form of Dexamethasone: a warning to health system. JPPM. 2015;1(3/4):56–58.
Fani MM, Ghaeminia M, Farjood A. Drugs prescribed by dentists in Fars Province, Iran. Avicenna J Dent Res. 2013;5(2):1–3.
Ciancio S, Reynard A, Zielezny M, Mather M. A survey of drug prescribing practices of dentists. NY State Dent J. 1989;55(1):29–31.
Amani F, Shaker A, Soltanmohamaadzadeh M. Prescribing pattern and drug indicators in patients visited by general practitioners and specialists in Ardabil City of Iran. IJPT. 2013;12(1):15–18.
Sivakumar NR. Steroids in root canal treatment. IJPPS. 2014;6(3):17–19.
Mohammadi Z. Systemic and local applications of steroids in endodontics: an update review. Int Dent J. 2009;59(3):297–304.
Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255–273.
Jalalzadeh SM, Mamavi A, Shahriari S, Santos FA, Pochapski MT. Effect of pretreatment prednisolone on postendodontic pain: a double-blind parallel-randomized clinical trial. J Endod. 2010;36(6):978–981.
de Menezes Silva N, dos Anjos Neto DA. Systemic medication applied to endodontic treatment: a literature review. RSBO. 2014;11(3):293–302.
Nicolaides NC, Pavlaki AN, Maria Alexandra MA, Chrousos GP. Glucocorticoid therapy and adrenal suppression. 2011. Available from: Accessed: 11.12.2018.
Jamshidi S, Baghaei F, Doniavi Z, Jalalvand A, Moosavi S, Radi S. Attitude of dentists towards the administration of analgesics for management of post-endodontic pain in Hamadan. Avicenna J Dent Res. 2014;6(2):e23784.
Karimi A, Haerizadeh M, Soleymani F, Haerizadeh M, Taheri F. Evaluation of medicine prescription pattern using World Health Organization prescribing indicators in Iran: A cross-sectional study. JRPP. 2014;3(2):39–45.
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