Chemical Adjuncts To Perio

Question 1

What are two types of antimicrobials used re. Periodontal disease

Answer 1

Antibiotics

Antiseptics

Question 2

What are disadvantages of antibiotics

Answer 2

Sensitivity/ allergies
Resistance
Disruption to natural flora- candidate infections
Care should be taken re. Liver and kidney disease

Question 3

When is the use of an antimicrobials MW indicated?

Answer 3

Replace mechanical brushing
After oral surgery
During acute gingival conditions
Handicapped patients

As an adjunct to brushing

Question 4

How can antimicrobials be delivered subbgingivally?

Answer 4

Pocket irrigated with chx or gel with a blunt syringe

Question 5

When is a perio chip indicated and how does it work

Answer 5

Used for site non responsive to treatment
Placed in pocket post rsi
Biphasic release over 7 days
Initial 40% then remaining 60%
Eliminates pathogenic bacteria
Reduces bacterial levels for up to 60 days

Question 6

Name slow release gel antibiotics

Answer 6

Dentomycin

Elyzol

Question 7

Name antibiotic slow release fibres

Answer 7

Actisite

Question 8

What two antibiotics are commonly used against GNABS

Answer 8

Tetracycline -bacteriostatic

Metranizodole -bacteriocidal