Antimicrobial Chemotherapy for Recalcitrant Severe Human Periodontitis.
amoxicillin
anti-infective agents
ciprofloxacin
metronidazole
periodontal pathogens
periodontitis
povidone-iodine
sodium hypochlorite
Journal
Antibiotics (Basel, Switzerland)
ISSN: 2079-6382
Titre abrégé: Antibiotics (Basel)
Pays: Switzerland
ID NLM: 101637404
Informations de publication
Date de publication:
28 Jan 2023
28 Jan 2023
Historique:
received:
29
12
2022
revised:
20
01
2023
accepted:
25
01
2023
entrez:
25
2
2023
pubmed:
26
2
2023
medline:
26
2
2023
Statut:
epublish
Résumé
This study evaluated a combined systemic and topical anti-infective periodontal treatment of 35 adults who had experienced ongoing periodontal breakdown following conventional surgical periodontics. The prescribed anti-infective therapy, based on microbiological testing, consisted of a single course of metronidazole plus ciprofloxacin (23 patients), metronidazole plus amoxicillin/clavulanic acid (10 patients), and metronidazole plus ciprofloxacin followed by metronidazole plus amoxicillin/clavulanic acid (2 patients). In addition, the study patients received 0.1% povidone-iodine subgingival disinfection during non-surgical root debridement and daily patient administered oral irrigation with 0.1% sodium hypochlorite. At 1 and 5 years post-treatment, all study patients showed gains in clinical periodontal attachment with no further attachment loss, and significant decreases in pocket probing depth, bleeding on probing, and subgingival temperature. The greatest disease resolution occurred in patients who at baseline harbored predominantly major periodontal pathogens which post-antibiotics became non-detectable and substituted by non-periodontopathic viridans streptococci. The personalized and minimally invasive anti-infective treatment regimen described here controlled periodontitis disease activity and markedly improved the clinical and microbiological status of the refractory periodontitis patients.
Identifiants
pubmed: 36830176
pii: antibiotics12020265
doi: 10.3390/antibiotics12020265
pmc: PMC9951977
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : National Institute of Dental and Craniofacial Research
ID : RO1-DE6085
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