European Society of Endodontology position statement: the use of antibiotics in endodontics

Int Endod J. 2018 Jan;51(1):20-25. doi: 10.1111/iej.12781. Epub 2017 Jun 14.


This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on Antibiotics in Endodontics. The statement is based on current scientific evidence as well as the expertise of the committee. The goal is to provide dentists and other healthcare workers with evidence-based criteria for when to use antibiotics in the treatment of endodontic infections, traumatic injuries of the teeth, revascularization procedures in immature teeth with pulp necrosis, and in prophylaxis for medically compromised patients. It also highlights the role that dentists and others can play in preventing the overuse of antibiotics. A recent review article provides the basis for this position statement and more detailed background information (International Endodontic Journal, 2017, Given the dynamic nature of research in this area, this position statement will be updated at appropriate intervals.

Keywords: antimicrobial agents; apical periodontitis; endodontic infection; periapical periodontitis; pulpitis.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Antibiotic Prophylaxis
  • Contraindications, Drug
  • Endodontics / standards*
  • Humans
  • Infections / drug therapy
  • Periapical Abscess / drug therapy
  • Tooth Injuries / drug therapy
  • Tooth Replantation


  • Anti-Bacterial Agents