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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
Systemic antibiotics in periodontal therapy
1Centre for Rural and Remote Oral Health, The University of Western Australia, Crawley, WA 6009, Australia. heitz.mayfield@iinet.net.au
Systemic antibiotics for periodontitis treatment remain controversial. This review updates clinical guidance on prescribing antibiotics alongside standard periodontal therapy for better outcomes.
Area of Science:
- Dentistry
- Periodontology
- Microbiology
Background:
- Periodontitis is a complex biofilm infection requiring mechanical debridement and maintenance care.
- Surgical interventions may be necessary for improved root access in some periodontitis cases.
- The efficacy of systemic antibiotics as an adjunct to conventional periodontitis therapy is debated.
Purpose of the Study:
- To provide an updated evidence-based review on the clinical application of systemic antibiotics in periodontitis therapy.
- To address the ongoing controversy regarding the role of antibiotics in managing periodontal disease.
- To offer guidance on the appropriate use of systemic antibiotics in conjunction with standard periodontal treatments.
Main Methods:
- Systematic review of recent literature on adjunctive antibiotic use in periodontitis.
- Evidence-based assessment of clinical outcomes associated with antibiotic therapy.
- Analysis of factors influencing the decision to prescribe systemic antibiotics.
Main Results:
- Conflicting study results exist regarding the benefits of adjunctive antibiotics in periodontitis.
- Systematic reviews have begun to clarify the evidence for antibiotic efficacy.
- Clinical decision-making for antibiotic prescription requires careful consideration of current evidence.
Conclusions:
- The role of systemic antibiotics in periodontitis treatment requires nuanced understanding.
- Further research and updated guidelines are needed to resolve controversies.
- This review aims to clarify when and how to prescribe antibiotics for periodontitis.
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