[Impact of antibiotics on the indication for periodontal surgery].
The present paper describes the use of oral antibiotics in the treatment of severe periodontitis based on the composition of the subgingival flora. Antimicrobial therapy is applied within the concept of the three basic steps in periodontal treatment. It is demonstrated in the literature that the use of antibiotics based on clinical and microbiological parameters, can reduce the need of periodontal access surgery. Proper infection control is also related to favourable outcome of regenerative periodontal procedures and periodontal plastic surgery. Therefore, the proper use of antibiotics may result in a shift in indication for different modalities of periodontal surgery.
Abbas
F
F
Uit 'de afdeling Parodontologie van het Academisch Centrum Mondzorg Groningen van de Faculteit der Medische Wetenschappen, Rijksuniversiteit Groningen. f.abbas@med.rug.nl
van Winkelhoff
A J
AJ
D000284:Administration, Oral; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use*; D019647:Oral Surgical Procedures; D010518:Periodontitis / Q000188:drug therapy* / Q000382:microbiology / Q000517:prevention & control / Q000601:surgery*; D016896:Treatment Outcome
D000890:Anti-Infective Agents; D008795:Metronidazole