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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.

Testimonials.

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Testimonials

Dr. Hekmat and all of his staff are gentle and friendly. They take the fear out of going to the dentist. He has done quality work on my teeth for the last three years and fixed problems I had from previous, poor quality dental work too! I am more than willing to drive 40 miles from where I live because I've never had such a great dental experience anywhere else!

Taylor w

Dr. Hekmat is absolutely wonderful, I couldn't imagine going to anyone else. He and his entire staff are caring and knowledgable; the quality of care is as good as it gets.
This is not your typical dentist experience. When I walk in today for my appointment, there was no check-in process- the assistant working at the front desk recognized me and told me the hygienist would be with me shortly (2 minutes later, right on time). They actually take the time to get to know their patients, which is especially comforting for those of us who get a little antsy when it comes time for a dental appointment.
The facility is top-notch. It's incredibly clean, TV in the lobby, and the chairs have massagers in the back so you can focus on something besides having your teeth cleaned. The pictures on their website might look too good to be true, but it's just genuinely that nice.
Dr. Hekmat and his staff are all phenomenal. They know what they're doing, take the time to explain what they're doing, and to answer questions. I would recommend Dr. Hekmat to anyone looking for a dentist or to change dentists, he's the best!

Chelsea S.

Dr. Hekmat's offices are so clean, soothing, and modern that it almost (ALMOST ... it's still the dentist!) feels like visiting the spa when you visit. I drive up all the way from the UTC area because I trust him and his staff with my teeth and my jittery nerves! They even take a photo of you at your first visit, so that when you come back, the receptionist greets you by name and already knows who you are - very welcoming, and a unique touch. Even the lighting is warm and relaxing, and the view from the chair is of a large, grassy pond filled with ducks.

Dr. Hekmat himself is friendly, calming, and talented. He replaced several silver filings with white filings for me - and he was really, really fast. Which was really appreciated by me, because I'm a big baby when it comes to the dentist. Several months later, and I'm silver-free and my filings have done great.

Ann M.

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