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Updated: Apr 1, 2026

Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
Should Antibiotics Be Prescribed to Treat Chronic Periodontitis?
John Walters1, Pin-Chuang Lai2
1Division of Periodontology, College of Dentistry, The Ohio State University, 3015 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210, USA.
Abstract:
Although scaling and root planing is a cost-effective approach for initial treatment of chronic periodontitis, it fails to eliminate subgingival pathogens and halt progressive attachment loss in some patients. Adjunctive use of systemic antibiotics immediately after completion of scaling and root planing can enhance the degree of clinical attachment gain and probing depth reduction provided by nonsurgical periodontal treatment. This article discusses the rationale for prescribing adjunctive antibiotics, reviews the evidence for their effectiveness, and outlines practical issues that should be considered before prescribing antibiotics to treat chronic periodontitis.
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