To evaluate the role of antibiotics following periodontal flap surgery
A relative clinical study
Keywords:
antibiotics, periodontal surgery, postoperative infectionAbstract
Periodontitis is a multifactorial disease occurring as a result of complex interrelationship between infectious agents and host factors. Moderate to severe cases of chronic periodontitis may warrant periodontal surgical procedures. As postoperative infection can have a significant effect on the surgical outcome. In the study, an attempt has been planned to evaluate the role of antibiotics in periodontal flap surgeries in reducing postsurgical infections. 40 Patients (male and female) aged 25-50 yrs with moderate to severe chronic periodontitis were selected from the Department of Periodontics and Oral Implantology at Desh Bhagat Dental College and Hospital, Mandi Gobindgarh. Therapeutic group (20 patients) - Amoxicillin 250 mg + metronidazole 200 mg for 5 days after surgery. Control group (20 patients) - No antibiotics given postoperatively. Analgesics and antiseptic mouthwash were prescribed for both the group. Patients were evaluated for pain (measured on visual analog scale [VAS]), Modified gingival index, Wound healing index, Swelling, fever, ulceration, delayed wound healing were recorded on the 7 th day of suture removal. Visual analog scale [VAS] recorded in control group was 2.90 and in Therapeutic group was 2.10. Mean modified gingival index score recorded in control group was 0.92 and in Therapeutic group was 0.66.
Downloads
References
Page, R.C., S. Offenbacher, H.E. Schroeder, G.J. Seymour and K.S. Kornman, 1997. Advances in pathogenesis of periodontitis: Summary of developments, clinical implications and future directions. Periodontalogy, 14: 216-248.
Flemming, T.F., 1999. Periodontitis. Ann. Periodontol., 4: 32-38.
Suomi, J.D., J.C. Green and J.R. Vermillion et al., 1969. The effect of controlled oral hygiene procedure on the progression of periodontal diseases in adults: Results after two years. J. Periodontal., 40: 416.
Caffesse, R.G., S.P. Ramfjord and C.E. Nasjleti, 1968. Reverse bevel periodontal flaps in monkeys. J. Periodontol., 39: 219-235.
Mahira, K., H. Trivedi, A. Bey and V.K. Sharma, 2016. Post‒operative complications of periodontal surgery. Int. J. Contempor. Med. Res., 3: 1285-1286.
Van Steenberge, D., K. Yoshida, W. Papaioannou, C.M. Bollen and G. Reybrouck et al., 1997. Complete nose coverage to prevent airborne contamination via nostrils is unnecessary. Clin. Oral. Implant. Res., 8: 512-516.
Aurido, A.A., 1969. The efficacy of antibiotics after periodontal surgery: A controlled study with Lincomycin and Placebo in 68 patients. J. Periodontol., 40: 150-154.
Kidd, E.A. and A.B. Wade, 1974. Penicillin control of swelling and pain after periodontal osseous surgery. J. Clin. Periodontol., 1: 52-57.
Andrej, A. and D. PlanEak, 2004. Antimicrobial Treatment of Periodontal Diseases. Acta Stomatol Croat, 38: 67-72
Carranza, F.A. Jr, R. Saglie, M.G. Newman and P.L. Valentin, 1983. Scanning and transmission electron microscopic study of tissue-invading microorganisms in localized juvenile periodontitis. J. Periodontol., 54: 598-617.
Arab, H.R., N. Sargolazaie, A. Moientaghavi, H. Ghanbari and Z. Abdollahi, 2006. Antibiotics to prevent complications following periodontal surgery. Int. J. Pharmacol., 2: 205-208.
Lawler, B., P.J. Sambrook and A.N. Goss, 2005. Antibiotic prophylaxis for dentoalveolar surgery: Is it indicated? Aust Dent. J., 50: 554-559.
Wilke, M.S., A.L. Lovering and N.C. Strynadka, 2005. Beta-lactam antibiotic resistance: A current structural perspective. Curr. Opin. Microbiol., 8: 525-533.
Spasovski, S., Z. Belazelkoska, M. Popovska, A. Atanasovska-Stojanovska and V. Radojkova-Nikolovska et al., 2016. Clinical therapeutic effects of the application of doxycycline in the treatment of periodontal diseases. Open Access Maced. J. Med. Sci., 4: 152-157.
Akincibay, H., S. Orsal, D. Sengün and T. Tözüm, 2008. Systemic administration of doxycycline versus metronidazole plus amoxicillin in the treatment of localized aggressive periodontitis: A clinical and microbiologic study. Quintessence Int., 39: e33-39.
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.