Administration of systemic antibiotics during non-surgical periodontal therapy-a consensus report.

Abstract:

AIM:The aim of this meta-review was to evaluate whether there is a meaningful clinical benefit regarding the use of systemic adjunctive antibiotics in the treatment of patients with periodontitis. Additionally, a consensus regarding possible recommendations for future administration of antibiotics should be reached. METHODS:A structured literature search was performed by two independent investigators focusing on systematic reviews (SR) covering adjunctive systemic antibiosis during non-surgical periodontal therapy. Additionally, recent randomized clinical trials (RCT, July 2015 to July 2017) were searched systematically to update the latest SR. Results were summarized and discussed in a plenary to reach a consensus. RESULTS:Mostly, systematic reviews and RCTs showed a significant positive effect of adjunctive systematic antibiosis compared to controls. These positive effects gain clinical relevance in patients with severe periodontal disease aged 55 years and younger. CONCLUSION:Systemic antibiotics as an adjunct to non-surgical periodontal therapy should be sensibly administered and restrictively used. Only certain groups of periodontitis patients show a significant and clinically relevant benefit after intake of systemic antibiosis during periodontal therapy. CLINICAL RELEVANCE:Avoiding antibiotic resistance and possible side effects on the human microbiome should be a focus of dentists and physicians. Thus, a sensible administration of antibiotics is mandatory. This manuscript suggests guidelines for a reasonable use.

journal_name

Clin Oral Investig

authors

Pretzl B,Sälzer S,Ehmke B,Schlagenhauf U,Dannewitz B,Dommisch H,Eickholz P,Jockel-Schneider Y

doi

10.1007/s00784-018-2727-0

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

3073-3085

issue

7

eissn

1432-6981

issn

1436-3771

pii

10.1007/s00784-018-2727-0

journal_volume

23

pub_type

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