Microbiological changes with the use of locally delivered doxycycline in the periodontal treatment of smokers.
BACKGROUND
The aim of this study was to evaluate the effect of the association of locally delivered doxycycline 10% and scaling and root planing in the subgingival plaque of smokers.


METHODS
Sixteen smokers with chronic periodontitis and a minimum of four pockets (> or = 5 mm) on anterior teeth that bled on probing were selected. Patients were randomly assigned to one of the following groups: scaling and root planing (SRP) or scaling and root planing followed by local application of doxycycline (SRP-D). Subgingival plaque samples were collected from initially moderate (5 to 6 mm) and deep (> or = 7 mm) pockets at baseline and 3 months. Polymerase chain reaction (PCR) analysis was used to detect the frequency of Actinobacillus actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), and Tannerella forsythensis (Tf).


RESULTS
No statistically significant difference was found in the reduction of Aa in either the SRP-D or SRP group (P > 0.05). The reduction in Tf, Pg, and Tf + Pg was statistically significant for SRP-D only (P = 0.016, 0.027, and 0.027, respectively). The proportion of sites free of Tf at 3 months was 53% for SRP-D and 9% for SRP (P = 0.02). For Pg, this proportion was 82% and 40%, respectively (P = 0.05).


CONCLUSIONS
The use of locally delivered doxycycline may promote the elimination of T. forsythensis and P. gingivalis in a greater proportion of sites compared to conventional scaling and root planing in smokers.
Machion
Luciana
L
Department of Periodontics and Prosthodontics, School of Dentistry at Piracicaba (UNICAMP), São Paulo, Brazil.
Andia
Denise Carleto
DC
Saito
Daniel
D
Klein
Marlize Inês
MI
Gonçalves
Reginaldo Bruno
RB
Casati
Márcio Zafallon
MZ
Nociti
Francisco H
FH
Sallum
Enilson Antonio
EA
D000287:Administration, Topical; D016976:Aggregatibacter actinomycetemcomitans / Q000187:drug effects; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D001439:Bacteroides / Q000187:drug effects; D002908:Chronic Disease; D015169:Colony Count, Microbial; D004269:DNA, Bacterial / Q000032:analysis; D003773:Dental Plaque / Q000209:etiology / Q000382:microbiology*; D012534:Dental Scaling; D004318:Doxycycline / Q000008:administration & dosage*; D006801:Humans; D008826:Microbial Sensitivity Tests; D010518:Periodontitis / Q000382:microbiology; D016133:Polymerase Chain Reaction; D016966:Porphyromonas gingivalis / Q000187:drug effects; D012907:Smoking / Q000009:adverse effects*
D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D004269:DNA, Bacterial; D004318:Doxycycline