Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature

Introduction. Systemic antibiotics present one of the alternative adjunctive therapies in nonsurgical periodontal treatment (NSPT). Different protocols have been proposed, but their indication and effectiveness are still controversial. The aim of this study is to assess the effectiveness of the addi...

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Autores principales:	Chaima Hammami, Wafa Nasri
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/ffc40d9949b54b918c83caa6e62b8e59
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spelling	oai:doaj.org-article:ffc40d9949b54b918c83caa6e62b8e592021-11-22T01:09:29ZAntibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature1687-873610.1155/2021/6846074https://doaj.org/article/ffc40d9949b54b918c83caa6e62b8e592021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6846074https://doaj.org/toc/1687-8736Introduction. Systemic antibiotics present one of the alternative adjunctive therapies in nonsurgical periodontal treatment (NSPT). Different protocols have been proposed, but their indication and effectiveness are still controversial. The aim of this study is to assess the effectiveness of the addition of antibiotics after nonsurgical debridement during initial therapy and compare different antimicrobial prescription protocols. Materials and Methods. An electronic search was performed through MEDLINE and EBSCOhost databases using the appropriate MeSH words. The target studies have to be published during the last five years. Data from the selected studies were extracted and analyzed. Study selection was done based on inclusion and exclusion criteria. Results. Seven randomized clinical trials were included in our review. Their data were extracted using a grid established for this purpose. Collectively, different protocols have been proposed and almost all of them yield superior clinical and microbiological results compared to the placebo group. Conclusion. The overall findings of this review show a positive effect of the use of antibiotics as an adjunctive to NSPT, regardless of the antimicrobial agents used in our included studies. Sites with PD > 6 mm may benefit most from the adjunctive use of antibiotics in NSPT. This trial is registered with Clinicaltrials.gov identifiers: NCT02829983 (Bechara Andere et al., 2016); NCT02839421 (Ardila et al., 2020); NCT02735395 (Borges et al., 2017); NCT02359721 (Suryaprasanna et al., 2018); and NCT01318928 (Hans, 2015).Chaima HammamiWafa NasriHindawi LimitedarticleDentistryRK1-715ENInternational Journal of Dentistry, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dentistry RK1-715
spellingShingle	Dentistry RK1-715 Chaima Hammami Wafa Nasri Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
description	Introduction. Systemic antibiotics present one of the alternative adjunctive therapies in nonsurgical periodontal treatment (NSPT). Different protocols have been proposed, but their indication and effectiveness are still controversial. The aim of this study is to assess the effectiveness of the addition of antibiotics after nonsurgical debridement during initial therapy and compare different antimicrobial prescription protocols. Materials and Methods. An electronic search was performed through MEDLINE and EBSCOhost databases using the appropriate MeSH words. The target studies have to be published during the last five years. Data from the selected studies were extracted and analyzed. Study selection was done based on inclusion and exclusion criteria. Results. Seven randomized clinical trials were included in our review. Their data were extracted using a grid established for this purpose. Collectively, different protocols have been proposed and almost all of them yield superior clinical and microbiological results compared to the placebo group. Conclusion. The overall findings of this review show a positive effect of the use of antibiotics as an adjunctive to NSPT, regardless of the antimicrobial agents used in our included studies. Sites with PD > 6 mm may benefit most from the adjunctive use of antibiotics in NSPT. This trial is registered with Clinicaltrials.gov identifiers: NCT02829983 (Bechara Andere et al., 2016); NCT02839421 (Ardila et al., 2020); NCT02735395 (Borges et al., 2017); NCT02359721 (Suryaprasanna et al., 2018); and NCT01318928 (Hans, 2015).
format	article
author	Chaima Hammami Wafa Nasri
author_facet	Chaima Hammami Wafa Nasri
author_sort	Chaima Hammami
title	Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
title_short	Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
title_full	Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
title_fullStr	Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
title_full_unstemmed	Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature
title_sort	antibiotics in the treatment of periodontitis: a systematic review of the literature
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ffc40d9949b54b918c83caa6e62b8e59
work_keys_str_mv	AT chaimahammami antibioticsinthetreatmentofperiodontitisasystematicreviewoftheliterature AT wafanasri antibioticsinthetreatmentofperiodontitisasystematicreviewoftheliterature
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Antibiotics in the Treatment of Periodontitis: A Systematic Review of the Literature

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