Benefits of early systemic antibiotics in localized aggressive periodontitis: a retrospective study.

Abstract:

BACKGROUND:Treatment of localized aggressive periodontitis (LAP) may include systemic antibiotics, yet it is unclear at what stage of treatment planning antibiotics are most effective. AIM:This retrospective analysis compared immediate versus delayed antibiotic therapy on clinical parameters and gingival crevicular fluid (GCF) inflammatory mediators. MATERIAL AND METHODS:At baseline, 3 months and 6 months after treatment, clinical parameters [probing depth (PD), clinical attachment level (CAL), bleeding on probing (BoP) and plaque] and GCF were collected from LAP participants, who received a 7-day antibiotic regimen immediately (ImA) or 3 months following (DelA) mechanical therapy. RESULTS:Although both groups presented significant CAL reductions at 6 months, only ImA resulted in a reduction in mean PD at both 3 and 6 months, along with reductions in CAL and BoP at 3 months following therapy. In addition, GCF mediators were higher in DelA group at 3 months post mechanical treatment, but were significantly reduced 6 months following antibiotic therapy. CONCLUSIONS:ImA and DelA regimens were both effective in improving CAL by 6 months post therapy. However, ImA allowed for better improvement in overall clinical parameters early in the course of treatment, concomitant with lower levels of inflammatory mediators within the GCF.

journal_name

J Clin Periodontol

authors

Beliveau D,Magnusson I,Bidwell JA,Zapert EF,Aukhil I,Wallet SM,Shaddox LM

doi

10.1111/jcpe.12001

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1075-81

issue

11

eissn

0303-6979

issn

1600-051X

journal_volume

39

pub_type

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