The ins and outs of periodontal antimicrobial therapy.
A multifaceted antimicrobial approach is necessary for the successful management of destructive periodontal disease. Effective antimicrobial periodontal therapy aims to overwhelm periodontal pathogens with aggressive initial therapy and prevent previously suppressed pathogens from rising up anew through daily oral hygiene measures and frequent professional cleaning. Current antimicrobial periodontal therapy employs mechanical debridement performed with and without surgery, antibiotics, and antiseptics. Subgingival irrigation with povidone-iodine at the dentist's office and subgingival irrigation with dilute sodium hypochlorite for home-care constitute effective, safe, and affordable periodontal antimicrobial therapy. This article describes theoretical and practical guidelines for implementing rational and cost-effective antimicrobial principles in the management of periodontal disease.
Jorgensen
Michael G
MG
University of Southern California School of Dentistry, Los Angeles 90089-0641, USA.
Slots
Jørgen
J
D000284:Administration, Oral; D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D005891:Gingivitis / Q000188:drug therapy; D006801:Humans; D010510:Periodontal Diseases / Q000188:drug therapy* / Q000382:microbiology*; D010518:Periodontitis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local