Author: Divyasree K A, Chaithra P, Biniraj K R, Rishi Emmatty, Tony P Paul, Aslam A R
Department of Clinical Periodontology and Oral Implantology, Royal Dental College, Chalissery, Palakkad, Kerala, India
Conflicting reports exists in relation with the usage of antibiotics in Periodontics. With the advanced knowledge and changing concepts of therapeutic approach to plaque biofilm, the usage of antibiotic even as an adjunct to non surgical periodontal therapy seems to be unjustified. A review is attempted here to venture into the present trends of antibiotic usage in periodontal practice with special emphasis on most prescribed antibiotics. The various aspects of action of antibiotics against plaque biofilm and its usage following periodontal surgeries are dealt separately.
With the recognition of microbial origin of periodontal disease, it led to an increased interest in the use of antibiotics in periodontal therapy. But there exists conflicting reports on the administration of antibiotics in the management of periodontal disease. This is because of their intensive abuse, both overprescription and also administration for inappropriate reasons which has led to the worldwide problem of bacterial resistance. This review aims to provide with an update on the current literature evidence regarding the use of systemic antibiotics in periodontal therapy. The study was initiated with the thought provoking news (CDC’s antibiotic resistant threats in the United States,2013) that, infections from multi drug resistant organisms are responsible for more than 14000 deaths per year and affecting the health of at least 2 million people every year. The present article will be limited to the usage of antibiotics related to periodontal non surgical and surgical therapy.
