Many people are wrongly seeking antibiotics for toothache

Research has found that up to 80% of dental antibiotic use is unneccesary; however, many people persist in believing they are essential to treat a toothache. —

Social media is used extensively to seek antibiotics, avoid dental treatment and provide support to people with toothache, according to new research.

University of Manchester dental researcher Dr Wendy Thompson says that users also reported turning to antibiotics when unable to access urgent dental services.

This is consistent with her previous research, which found that dentists increased antibiotic prescribing by 25% in England during the Covid-19 pandemic lockdown when dental services were less accessible.

“While antibiotics do not cure toothache, it is surprising that so many social media users had experienced taking antibiotics for toothache,” she says.

The study was carried out with then undergraduate Rachel Emmott, now a foundation dentist.

Internationally, dentists are estimated to be responsible for 10% of all antibiotics prescribed to humans.

Studies in the United Kingdom and United States have shown up to 80% of dental antibiotic use is unnecessary, fuelling the problem of antibiotic resistance.

Some users in the study, published in the International Journal of Pharmacy Practice, reported having to wait up to a week in severe pain before access to professional treatment was available.

But conversely, the desire to avoid a dental appointment was also expressed as a reason for seeking antibiotics, often underpinned by fear of dental treatment or its cost.

People are known to regularly seek antibiotics for toothache from non-dental professionals, including general practitioners and in emergency departments.

Self-medication is also reported.

The study examined 144 posts on Twitter and Facebook over two years, based on the search terms “antibiotic”, “dentist” and “toothache”.

According to the researchers, the number of entries was higher than expected, indicating that the phenomenon is likely to be common.

Dr Thompson says: “A general belief that antibiotics are an appropriate and necessary treatment for toothache exists.

“Some people believe antibiotics are always the appropriate treatment for toothache and are frustrated or disappointed when they are not prescribed.

“In this sample of social media users, the misplaced belief that antibiotics are an appropriate treatment for toothache was widespread.

“Users attributed their behaviour to poor access to professional dental care, but also, avoiding dental appointments because of anxiety and the perceived affordability of dentistry.

“And a range of strategies to cope with the severe impact toothache was having on people’s quality of life were identified, from prayer to antibiotics.”

More than half the posts portrayed an element of physical pain of varying severity, with terms like “agony”, “excruciating” and “unbearable” being used.

A feeling of inability to cope and issues needing to be overcome in order to continue daily activities was evident, including the inability to drive, lost productivity and missed social events.

Dr Thompson adds: “Managing this behaviour through addressing people’s expectations and desire for antibiotics to cope with toothache should be part of our strategy in tackling antibiotic resistance.

“That means appropriate access to professional dental care for those with acute toothache, including for people with fear of dentistry and people on low incomes, should be integral to health services reviews of dentistry.”

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