In Denmark as well as in the rest of the world the emergence and spread of multi resistant bacteria are increasing. This could ultimately lead to a post-antibiotic era with a considerable limitation in treatment options in the health care system. A number of papers have reported the emergence and transmission of MRSA (methicillin resistant Staphylococcus aureus) in dental clinics, while dental transmission of multi resistant Enterobacteriaceae and Enterococcus has not yet been registered. Dentists can support the prevention of dissemination of multi resistant bacteria in the community by always following the guidelines on general infection control during clinical work. Additionally, dentists can prevent development of bacterial resistance with implications for not just oral but also the general health by halting the increasing prescription of antibiotics by dentists registered the past decades.
The indications for administration of antibiotics should be limited in concordance with the “National clinical guideline on usage of antibiotics in dentistry” published by the Danish Health Authority in 2016, and when prescribing antibiotics, a narrow spectrum antibiotic should be chosen.