Systemic antibiotics are drugs that, when given, affect the whole body. Normally they are administered in pill form when used in periodontal treatment. Periodontists use systemic antibiotics to treat acute infections, such as a gum abscess gum boil , and also before treatment when patients have certain medical conditions, such as mitral valve prolapse See Prophylactic Antibiotics. Systemic antibiotics are also recommended for two weeks after regeneration procedures and when implants are placed.
This is done to make sure there is no infection during the early healing stages, which are critical with these two techniques. Because periodontal disease is an infection, it would seem logical that antibiotics would eliminate the problem. Unfortunately, when treating routine periodontal breakdown, the effects of antibiotics are short-lived. This is because the bacteria that cause the disease reform immediately after the antibiotics are discontinued. In fact, periodontal cleanings done to remove calculus and plaque appear to be as effective as antibiotics in controlling the infection.
As a rule, for most routine periodontal conditions, systemic antibiotics are not necessary or even useful. In some advanced cases there may be very specific harmful bacteria that can be eradicated with systemic antibiotics. For these cases, a short-term treatment of antibiotics may be useful. In cases where traditional treatment does not produce the expected results, the mouth may be cultured to find out what specific bacteria are present.
This will guide the therapist on which antibiotic to use. Because overuse of systemic antibiotics can cause patient sensitivity and bacterial resistance, they should be used only when specifically indicated. Recently there has been interest in the use of low dose antibiotics. The dose is so low the drug does not act to kill bacteria, but rather to change the way the body responds to infection.
One interesting effect of certain antibiotics is they not only kill the bacteria that may cause periodontal disease, but they also reduce the body's production of collagenase, an enzyme that destroys gingival tissues.
We all need some collagenase as older tissue is removed and replaced with new tissue. However, in periodontal disease there seems to be an overproduction of collagenase, causing the body to destroy healthy gum tissue. The antibiotic doxycycline was found to combat these enzymes, even in doses so small that there was not an antibiotic effect. The advantage of the smaller doses is a great reduction in the chance of resistant bacterial strains forming, and in fewer side effects.
Periostat is a capsule of 20mg of doxycycline, and two clinical studies have shown that patients who take 2 capsules daily have a reduction in clinical inflammation. The studies were limited to 9 months, and so there is no official recommendation to take the product for a longer period.
We hope this message finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your health and safety. We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued.
You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:. You will also find some in the reception area and other places in the office for you to use as needed. We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice.
To make an appointment, please call our office at Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends. Patient Home Care Following Crown or Bridge Appointment If you have had anesthetic, please be careful not to bite your tongue or the inside of your cheeks. Long Term Care of Your New Crown or Bridge: Now that your crown or bridge has been cemented there are a few things to expect and to care for.
Care Instructions For Scaling and Root Planning If you received anesthesia, do not eat or chew until the numbness has subsided. Until healing has occurred, avoid hot spicy foods and alcohol. Avoid tobacco products for at least 72 hours. On the first night, brush the area lightly with a soft brush. Use a mouth rinse after 48 hours. Continue with all antibiotics for the full course even if symptoms have subsided.
If you have any discomfort: Take a pain reliever before the anesthetic has worn off or as recommended. Rinse mouth with warm salt water. No eating or drinking for 30 minutes following treatment Avoid touching the treated areas. Wait 12 hours after your treatment before brushing teeth. Avoid foods for 1 week that could hurt your gums. After 10 days, resume cleaning between the treated teeth on a daily basis. Remember, you must do your part. What are YOUR numbers?
Avoid touching areas of your gums that your dentist has treated. Do not floss or use toothpicks or any other devices that clean between your teeth for at least 10 days. Because the bacteria that cause periodontal disease are persistent, the infection can return. Please be sure to make follow-up appointments with your dental professional to maintain healthy gums and teeth. Consult your physician about any health concerns or conditions you may have.
Your physician will be most familiar with you and your personal medical history. Consult your physician and dental professional about any health concerns you may have. They will be the most familiar with you and your personal medical history. If you already have dental insurance, ask your dental office or plan if there is coverage. But you may qualify for coverage under your medical insurance plan's prescription benefits.
Frequently Asked Questions. Gum disease. What is gum disease? What are pockets?
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