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Innovations Implant Journal

versão On-line ISSN 1984-5960

Resumo

BISCARDE, Adriana Oliveira; ANDRADE, Lyla Prates de; BITTENCOURT, Sandro  e  RIBEIRO, Érica Del Peloso. Guide for adjunct use of systemic antibiotic in the treatment of periodontal disease. Innov. Implant. J., Biomater. Esthet. (Online) [online]. 2010, vol.5, n.2, pp. 51-59. ISSN 1984-5960.

Treatment of periodontal disease, with subgingival instrumentation and supragingival plaque control, is directed to the reduction or elimination of periodontal pathogens. However, in some specific clinical situations, scaling and root planing are not effective and adjunct therapies can be indicated to potentize the effects of mechanical instrumentation. Many antibiotics have been used, but there are strong evidence favoring the association of metronidazole and amoxicillin in the treatment of periodontitis. However, important questions about its use, when to indicate, time and moment of administration and ideal dosage, remain controversy. The lack of answers to these questions generates doubts about the use of systemic antibiotic in the clinical practice. Besides, the decision about its use has to be done with caution and based on scientific evidence, since the use of systemic antibiotic can cause many adverse effects. This is the only way that the clinical benefits can overcome the risks. Thus, the aim of the present study is to, with a literature review, present a critical analysis of the systemic antibiotic use in the treatment of periodontal disease and clarify clinical important doubts about its indication in daily practice.

Palavras-chave : Periodontal diseases; Periodontitis; Antibacterial agents.

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