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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
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Systemic antibiotic therapy in periodontics.

Anoop Kapoor1, Ranjan Malhotra, Vishakha Grover

  • 1Department of Periodontology Oral Implantology, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India.

Dental Research Journal
|April 6, 2013
PubMed
Summary

Systemic antibiotics combined with scaling and root planing (SRP) can improve periodontitis treatment outcomes. However, antibiotic use requires careful consideration of need and proper administration to maximize benefits and minimize risks.

Keywords:
Periodonticsperiodontitisscaling and root planingsystemic antibiotic therapy

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Area of Science:

  • Periodontology
  • Pharmacology
  • Microbiology

Background:

  • Periodontitis treatment involves scaling and root planing (SRP).
  • Systemic antibiotics may offer adjunctive benefits to SRP.
  • The risks and benefits of antibiotic use in periodontitis require careful evaluation.

Purpose of the Study:

  • To review the rationale for using systemic antibiotics in periodontitis treatment.
  • To discuss the optimal selection, dosage, and duration of antibiotic therapy.
  • To guide clinicians in maximizing the effectiveness of antibiotic adjuncts.

Main Methods:

  • Literature review of studies on systemic antibiotics and periodontitis.
  • Analysis of clinical attachment loss (CAL) and pocket depth changes.
  • Evaluation of antibiotic selection, dosage, and duration protocols.

Main Results:

  • Systemic antibiotics with SRP show additional benefits over SRP alone for CAL and pocket depth.
  • Antibiotic therapy reduces the risk of further clinical attachment loss.
  • Antibiotics are not without risks and require judicious use.

Conclusions:

  • Systemic antibiotics can be a valuable adjunct to SRP in periodontitis management.
  • Antibiotic therapy must be based on a clear clinical need.
  • Proper antibiotic selection, dosage, and duration are crucial for optimizing outcomes and minimizing adverse effects.