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How is localized aggressive periodontitis treated?
For patients experiencing aggressive periodontitis, the most efficient method of therapy seems to be mechanical removal of bacteria and calculus through scaling and root planing with ultrasonic debridement or hand instruments coupled by immediate prescription of systemic antibiotics, although there seems to be no …
How is localized periodontitis treated?
Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or insertion of gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning.
What are the most common bacteria detected in localized aggressive periodontitis?
Aggregatibacter actinomycetemcomitans
The majority of periodontal pathogens are Gram-negative and strict anaerobe, acting in synergy. Among the most important species, Aggregatibacter actinomycetemcomitans has been frequently associated with AgP [4,5].
What happened to localized aggressive periodontitis?
The 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions deleted localized aggressive periodontitis as a distinct form of periodontal disease and replaced it with molar/incisor pattern periodontitis.
Which type of bacteria is associated with localized juvenile periodontitis?
Actinobacillus actinomycetemcomitans (Aa) is the bacterium most commonly associated with this disease. The bacteria are often isolated from the subgingival, loosely adherent plaque inhabiting the pockets associated with the severe bone defects.
What type of bacteria is associated with periodontitis?
The bacteria associated with periodontal diseases are predominantly gram-negative anaerobic bacteria and may include A. actinomycetemcomitans, P. gingivalis, P.
What type of antibiotic is used for gum infection?
Metronidazole (Flagyl): This antibiotic may be prescribed to those patients suffering from severe periodontitis. Metronidazole works best when used in a combination with amoxicillin or tetracycline. Ciprofloxacin: This antibiotic is used to specifically target A.
Which antibiotic is useful in the treatment of many anaerobic periodontal infections?
The macrolide antibiotics used for periodontal treatment include erythromycin, spiramycin, and azithromycin.
What is best antibiotic for gum infection?
Metronidazole works best when used in a combination with amoxicillin or tetracycline. Ciprofloxacin: This antibiotic is used to specifically target A. actinomycetemcomitans, a slow-growing but harmful bacterium that contributes to gum disease.
How do you treat a bacterial gum infection?
Gum Infection Treatments
- Antibiotic Therapy: Just as you’d expect with any type of infection, antibiotics are often used to treat gum infection.
- Root Planing and Scaling Treatment: This advanced gum infection treatment cleans deeply between your gums and teeth—all the way to the roots.
What causes localized aggressive periodontitis?
The host factors that affect localized aggressive periodontitis include inflammatory and immune responses, the makeup of saliva and epithelial tissues, and chemical mediators. In some cases, the tissues of the gingiva have an innate functional defect that causes them to respond to certain pathogens abnormally.
What bacteria causes acute necrotizing ulcerative gingivitis?
Acute necrotizing ulcerative gingivitis, otherwise known as Vincent’s angina or trench mouth, is caused by an imbalance in the normal flora of the gingival sulcus with predominant presence of the spirochete Borrelia vincentii and the gram-negative bacillus Fusiformis fusiform.
Are antimicrobials effective in the treatment of aggressive periodontitis?
Antimicrobials can play a significant role in controlling aggressive periodontitis. Few studies have been published on this subject for localized aggressive periodontitis, but generalized aggressive periodontitis has been subject to more scrutiny.
Is amoxicillin good for periodontal disease?
Amoxicillin is found to be useful in the management of patients with aggressive periodontitis, in both localized and generalized forms. Recommended dosage is 500 mg tid for 8 days.
Do we need a combination of drugs to treat periodontal disease?
Indeed, it is suggested that a combination of drugs may be necessary to eliminate all putative pathogens from some periodontal pockets. Tetracyclines Tetracyclines have been widely used in treating refractory forms of periodontal disease, including localized aggressive periodontitis.
How effective is scaling and root planing in the treatment of periodontitis?
Scaling and root planing has been shown to be effective in improving clinical indices, but does not always guarantee long-term stability. Antimicrobials can play a significant role in controlling aggressive periodontitis.