Periodontal disease (also called periodontitis and gum disease) is the gradual condition that leads to the recession of the gum or jawbone, and tooth loss. Periodontal disease may lead to severe health problems in various parts of the body due to the toxins found in plaque. When the gum tissues become inflamed, the destructive results include the irritation of the gingiva (gum tissue). This in turn causes bacterial infection (gingivitis) that damages the underlying bone and gum tissue.
Antibiotics are available in gel and oral form are available according to you dentist’s prescription at a low dose for long-term use, or as a short term remedy to prevent bacteria from re-colonizing.
Oral Antibiotics
Oral antibiotics tend to influence the entire body rather than solely the mouth and are less commonly prescribed by a dentist.
What are some different types of oral antibiotics?
Macrolide antibiotics: Efficient at reducing inflamed areas while decreasing
bacterial growth associated with periodontitis.
Tetracycline antibiotics: They obtain antibacterial elements that decrease irritation and block collagenase (a protein which ruins the connective tissue).
Metronidazole: Generally used with other antibiotics such as tetracycline or amoxicillin to combat inflammation and bacterial growth.
Topical Gels and Strips
Topical gels and strips do not impact the whole body and are recommended over oral counterparts. They are influential when used after scaling and root planing procedures.
Common direct delivery antibiotics:
Atridox®: A doxycycline gel that adapts to the outlines of gum surfaces and hardens over them; the gel progressively releases the antibiotic medication.
PerioChip®: A chip that is inserted into the gum pocket and gradually releases chlorhexidine, a potent antiseptic that reduces the shallowness of the pocket.
Actisite®: A slender strip that includes tetracycline hydrochloride. The thread is inserted briefly between the tooth and gum to destroy bacteria and reduce the depth of gum pockets.
Elyzol®: A metronidazole antibiotic that allows the destruction of parasites and bacteria; it is available in both gel and strip form.
Arestin®: Mini capsule of Minocycline antibiotic transported into the gums.
Please ask your dentist if you have any questions about periodontal disease or antibiotic treatments.
DR HOSSEIN JAHANGIRI
General, Implant & Cosmetic Dentist, Clinical Director, SCFD & Portside Dentistry
