Antibiotic Treatment

Periodontal disease is a progressive condition that leads to severe inflammation and tooth loss if left untreated.  Antibiotic treatments can be used in combination with scaling and root planing, curettage, surgery, or as a stand-alone treatment to help reduce bacteria before and/or after many common periodontal procedures.

Antibiotic treatments come in several different types, including oral forms and topical gels which are applied directly into the gum pockets.  Research has shown that in the case of acute periodontal infection, refractory periodontal disease, prepubertal periodontal disease and juvenile periodontal disease, antibiotic treatments have been incredibly effective.

Antibiotics can be prescribed at a low dose for longer term use or as a short term medication to deter bacteria from re-colonizing.

Oral Antibiotics

Oral antibiotics tend to affect the whole body and are less commonly prescribed than topical gel.  Here are some specific details about several different types of oral antibiotics:

  • Tetracycline antibiotics – Antibiotics which include tetracycline hydrochloride, doxycycline, and minocycline are the primary drugs used in periodontal treatment.  They have antibacterial properties, reduce inflammation and block collagenase (a protein which destroys the connective tissue).

  • Macrolide antibiotics – This group of antibiotics has proven effective at reducing inflammation and can also reduce bacterial growth associated with periodontitis.
  • Metronidazole – This antibiotic is generally used in combination with amoxicillin or tetracycline to combat inflammation and bacterial growth in severe or chronic periodontitis.

Topical Gels and Strips

The biggest advantage of directly delivering antibiotics to the surface of the gums is not affecting the entire body.  Topical gels and direct delivery methods tend to be preferred over their oral counterparts and are extremely effective when used after scaling and root planing procedures. Here are some of the most commonly used direct delivery antibiotics:

  • Atridox® – This doxycycline gel conforms to the contours of gum surfaces and solidifies over them. Over several days, this gel gradually releases the antibiotic medication.

  • PerioChip® – This chip is placed into the actual gum pocket after a root planing procedure.  PerioChip® slowly releases Chlorhexidine, a powerful antibacterial antiseptic. PerioChip® reduces pocket depth in most periodontitis cases.
  • Actisite® – This thin strip is similar to dental floss and contains tetracycline hydrochloride. The thread is temporarily placed between the tooth and gum to kill bacteria and reduce pocket depth.  Several threads are sometimes placed for around 10 days to enhance the antibiotic effect.

  • Elyzol® – This metronidazole antibiotic comes in gel and strip form. It is unique because it is able to destroy parasites as well as oral bacteria.

  • Arestin® – This Minocycline antibiotic comes in mini capsules which are delivered into the gums after scaling and root planing.

Noticeable periodontal improvements are usually seen after systemic or oral antibiotic treatment. We will incorporate antibiotic treatments as necessary for the healing of your periodontal condition.

If you have any questions about periodontal disease or antibiotic treatments, contact our practice at your convenience.

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Testimonials

Choosing a dentist after delaying for over 6 years is tough !
Dr. Norman and his excellent staff, Jennifer, Coreena, and Kim, took care of me at every step.
Scheduling, consultations, the work that needed to be done on my teeth, and a follow-up appointment, have without a doubt resulted in me being a patient for life.
If you're in the same situation as I was, or are looking for a different opinion for your own dental needs, I highly recommend you go see them at their Roseburg or Glide clinics.

Teal T.

No one likes a visit to the dentist, but Jed Norman makes it as pain-free as possible. I've been to good dentists and bad ones, having gone through much more than my share of dental drama, so I was extremely relieved to find Dr Norman. He's very experienced and knowledgeable, but more to the point, he cares about his patients. He's thorough, compassionate, and patient. He's not afraid of a challenging dental situation, but knows his limits. I've supplied him with several opportunities (not on purpose) to recommend work that wasn't necessary, but he always suggests the conservative treatment first. He explains the science and logistics of his approach well, which helps me feel more confident. Also, both his office staff , dental assistants , and hygienist are equally competent and caring. When I need to get in for an appointment I'm able to. My husband and I have been Dr Norman's patient's for over three years now and I highly recommend him.

Shawna W.

Great dentist and awesome staff. Service is always thorough and they are very clear about treatment plans and costs. I got my wisdom teeth pulled here and they did a very good job. If you're looking for an honest, kind dentist with integrity, Jed Norman is your guy.

Andrew F.

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