Periodontics & Dental Implants
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Anti-Microbial Therapy

Anti-microbial therapy is the use of antibiotics or antiseptics in localized or generalized oral bacterial infections.

Anti-Microbial Therapy
In the treatment of periodontal disease anti-microbial therapy is used in the special situation of periodontal abscesses and in the more general condition of severe periodontitis which is resistant to mechanical procedures such as dental scaling and root planing.

When a patient is diagnosed with periodontitis it is usual to plan a series of deep cleanings known as dental scaling and root planings. These treatments are designed to clean out the bacterial infections causing inflammation by mechanically removing the bacteria from beneath the gums. The periodontist may also find that periodontal surgery is necessary to eliminate the pockets around the teeth which have been colonized by the bacteria.

There are times when the disease organisms are so difficult to displace that adjunctive anti-microbial therapy is necessary. There are antiseptic and antibiotic oral rinses which can be used to try to limit the periodontal disease. In the most stubborn cases antibiotics may be prescribed to help halt the disease process. In isolated areas where disease exists, the periodontist may place an antiseptic or antibiotics directly into an infected pocket.  
Periodontal Disease

The periodontal abscess is another common situation affecting patients with periodontal disease. This is a localized infection under the gums usually attended by swelling and pain in the area. An abscess typically needs to be treated with antibiotics to combat the bacteria as well as with surgical intervention. The periodontist opens the abscessed area to let it drain and clean out the infection. The patient is usually prescribed a regimen of oral antibiotics for 7 to 10 days.

In any of these situations and depending upon a patient's medical history a variety of antibiotics or a combination may be used. The most common oral systemic medications are amoxicillin, ciprofloxacin, metronidazole, and clindamycin. Tetracycline can be used both locally and systemically. At Century City Periodontics in Los Angeles we are available to treat any aspect of periodontal disease with the most effective course of antibiotics when necessary.

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