Antibiotic treatments can be used in combination with scaling and root planing, curettage, surgery or as a stand-alone treatment.
Antibiotic treatments come in oral forms and topical gels which are applied directly into the gum pockets. Research has shown that in the case of acute periodontal infection, refractory periodontal disease, prepubertal periodontal disease and juvenile periodontal disease, antibiotic treatments have been incredibly effective.
Antibiotics can be prescribed at a low dose for longer term use, or as a short term medication to deter bacteria from re-colonizing.
Tetracycline antibiotics – Antibiotics which include tetracycline hydrochloride, doxycycline, and minocycline are common drugs used in periodontal treatment. They have antibacterial properties, reduce inflammation and block collagenase (a protein which destroys the connective tissue).
Macrolide antibiotics – This group of antibiotics has proven effective at reducing inflammation, and can also reduce bacterial growth associated with periodontitis.
Metronidazole – This antibiotic is generally used in combination with amoxicillin or tetracycline to combat periodontal disease that is more resistant to other treatments.
Locally Delivered Antibiotics
The biggest advantage of the direct delivery of antibiotics into diseased periodontal pockets is that the whole body is not affected. Topical gels and direct delivery methods tend to be preferred over their oral counterparts and are extremely effective when used after scaling and root planing procedures. Here are some of the most commonly used direct delivery antibiotics:
Atridox® – This doxycycline gel conforms to the contours of gum surfaces and solidifies over them. Over several days, this gel gradually releases the antibiotic medication.
PerioChip® – This chip is placed into the actual gum pocket after root planing procedure. PerioChip® slowly releases Chlorhexidine, a powerful antibacterial antiseptic. PerioChip® reduces pocket depth in most cases in periodontitis sufferers
Arestin® – This Minocycline antibiotic comes in mini capsules which are delivered into the gums after scaling and root planning.
Noticeable periodontal improvements are usually seen after systemic or oral antibiotic treatment. The Doctors may incorporate or recommend antibiotic treatments as necessary for the healing of your periodontal condition.
If you have any questions about periodontal disease or antibiotic treatments, please feel free to call the office.
Jenkintown Periodontics & Dental Implants, LLC
Neal B. Suway, DDS - Juan Carlos Cabrera, DMD, MS
Dental Implants, Cosmetic and Laser Periodontics
261 Old York Road Suite 319
Jenkintown, PA 19046
Phone: (215) 887-6060
Convenient to Philadelphia, Abington, Willow Grove, Elkins Park, Cheltenham, Horsham, Warminster, and Hatboro