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[The use of antibiotics in periodontics. A review of the literature].
[The use of antibiotics in periodontics. A review of the literature].
- Source :
-
Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia [Schweiz Monatsschr Zahnmed] 1989; Vol. 99 (8), pp. 881-91. - Publication Year :
- 1989
-
Abstract
- Since periodontal diseases are mainly of bacterial origin, the use of antibiotics could seem justified for their treatment. Numerous studies, however, have shown that these drugs are not a first choice treatment for acute and chronic periodontitis. Chemotherapy can represent a valuable adjunct to routine mechanical debridement, particularly for adult recurrent periodontitis, juvenile periodontitis and rapidly progressive periodontitis. Furthermore, prophylactic chemotherapy should be provided for patients at risk with systemic diseases, notably when congenital or acquired valvular heart defects are present. For the treatment of adult recurrent periodontitis, the most appropriate systematic drugs are, presently, tetracyclines or imidazoles. Juvenile periodontitis can be treated with the help of tetracyclines and rapidly progressive periodontitis with imidazoles. As for high risk patients, the use of various penicillins is mandatory. A decision to use antibiotics must be made only after due consideration of their potential disadvantages. One should also remember that the possible positive or negative effects of antibiotics upon the host defence mechanisms are for the moment unknown.
- Subjects :
- Adult
Aggressive Periodontitis drug therapy
Aggressive Periodontitis etiology
Aggressive Periodontitis prevention & control
Child
Humans
Periodontal Diseases etiology
Periodontal Diseases prevention & control
Recurrence
Risk Factors
Anti-Bacterial Agents therapeutic use
Periodontal Diseases drug therapy
Subjects
Details
- Language :
- French
- ISSN :
- 0256-2855
- Volume :
- 99
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia
- Publication Type :
- Academic Journal
- Accession number :
- 2678453