Should Antibiotics Be Prescribed to Treat Chronic Periodontitis?
Should Antibiotics Be Prescribed to Treat Chronic Periodontitis?
复制标题
DOI：
10.1016/j.cden.2015.06.011
复制
发表时间：
2015-10
影响因子：
--
通讯作者：
Lai PC
中科院分区：
文献类型：
--
作者：
Walters J;Lai PC
虽然洗牙和牙根规划是慢性牙周炎初期治疗的一种经济有效的方法，但在一些患者中，它不能消除龈下病原体，也不能阻止附着物的逐渐丧失。对于一些患者，在完成刮治和牙根刨平后立即辅助使用全身性抗生素，可以增强非手术牙周治疗提供的临床附着增加程度和探诊深度减少。本文讨论了处方辅助抗生素的基本原理，回顾了其有效性的证据，并概述了在处方抗生素治疗慢性牙周炎之前应考虑的实际问题。
While scaling and root planing is a cost-effective approach for initial treatment of chronic periodontitis, it fails to eliminate subgingival pathogens and halt progressive attachment loss in some patients. For some patients, adjunctive use of systemic antibiotics immediately after completion of scaling and root planing can enhance the degree of clinical attachment gain and probing depth reduction provided by nonsurgical periodontal treatment. This article discusses the rationale for prescribing adjunctive antibiotics, reviews the evidence for their effectiveness, and outlines practical issues that should be considered before prescribing antibiotics to treat chronic periodontitis.