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Related Experiment Videos

Multiple periodontal abscesses after systemic antibiotic therapy.

H H Topoll1, D E Lange, R F Müller

  • 1Department of Periodontology, School of Dentistry, Westälische Wilhelms-Universität Münster, FRG.

Journal of Clinical Periodontology
|April 1, 1990
PubMed
Summary

Systemic antibiotics may trigger multiple periodontal abscesses in patients with advanced periodontal disease. This occurs by altering oral microbiota, leading to antibiotic-resistant bacterial strains and abscess formation.

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Area of Science:

  • Periodontology
  • Microbiology

Background:

  • Multiple periodontal abscesses can occur in medically compromised individuals.
  • Patients with advanced periodontal disease are susceptible to recurrent infections.

Purpose of the Study:

  • To investigate the role of prior antibiotic use in the development of multiple periodontal abscesses.
  • To identify the microbial composition of periodontal abscesses in patients with advanced periodontal disease.

Main Methods:

  • Examination of patients with multiple periodontal abscesses and no significant medical history.
  • Analysis of subgingival plaque samples from abscess sites.
  • Identification of anaerobic microbiota and assessment of antibiotic resistance patterns.

Main Results:

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  • Patients had advanced periodontal disease with significant probing depths and attachment loss.
  • Prevalent anaerobic bacteria included Bacteroides gingivalis, Fusobacterium nucleatum, and Streptococcus intermedius.
  • Antibiotic-resistant bacterial strains were found in 55% of samples.

Conclusions:

  • Systemic antibiotic therapy without concurrent subgingival debridement can alter subgingival microbiota.
  • This alteration may promote the development of multiple periodontal abscesses in patients with advanced periodontal disease.