Effect of periodontal treatment by one stage full mouth scaling and root planing with and without azithromycin

Authors

  • Ганна Ігорівна В’юн

DOI:

https://doi.org/10.33295/1992-576X-2019-4-30

Keywords:

periodontitis, one stage full mouth scaling and root planing, antibiotics, azithromycin

Abstract

Background and Objective. The study examines efficacy of azithromycin as an adjunct to non-surgical treatment on clinical parameters and body temperature.
Methods. 31 patients with chronic severe generalized periodontitis (according to New American Academy of Periodontology Classification: Stage 3 or 4, Grade B) were randomly assigned to 2 groups - comparative (one stage full mouth scaling and root planing with azithromycin, n =1 6) and control (one stage full mouth scaling and root planing without azithromycin, n = 15). Probing depth, clinical attachment level, BOP and plaque index were exanimated at baseline and 6 months after treatment, and body temperature.
Results. No statistically significant differences were observed between comparative and control groups at clinical parameters 6 months after treatment (P < 0.05). Both therapies reduced the periodontal pockets and decreased the clinical attachment. The body temperature increased significantly in patients of the control group.
Сonclusions. On the basis of present findings, it can be concluded that azithromycin as an adjunct to non-surgical treatment, not demonstrated additional benefits compared to just one stage full mouth scaling and root planing in patients with chronic severe generalized periodontitis. The use of azithromycin was effective in preventing the elevation of the body temperature after full mouth scaling and root planing.
Key words: periodontitis, one stage full mouth scaling and root planing, antibiotics, azithromycin.

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Author Biography

Ганна Ігорівна В’юн

В’юн Ганна Ігорівна – канд. мед. наук, асистент кафедри ортопедичної стоматології та ортодонтії
Приватного вищого навчального закладу «Київський медичний університет».
Адреса: 03057 м. Київ, вул. Цедіка, 7. Тел.: (050) 248-69-09. E-mail: gannaviun@gmail.com.

References

1. Socransky SS. Relationship of bacteria to the etiology of periodontal disease. J Dent Res. 1970;49:203-22.
2. Kornman KS. Mapping the pathogenesis of periodontitis: A new look. J Periodontol. 2008;79(Suppl. 8):1560-8.
3. Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health Prev Dent. 2003;1:7–16.
4. Page RC. Periodontal therapy: Prospects for the future. J Periodontol. 1993;64(Suppl. 8):744-53.
5. AAP. Systemic antibiotics in periodontics. J Periodontol. 1996;67:831–8.
6. Herrera D, Sanz M, Jepsen S, Needleman I, Roldбn S. A systematic review on the effect of systemic antimicrobials as an adjunct to scaling and root planing in periodontitis patients. J Clin Periodontol. 2002;29:136–59.
7. Yashima A, Gomi K, Maeda N, Arai T. One stage full mouth versus partial‐mouth scaling and root planing during the effective half life of systemically administered azithromycin. J Periodontol. 2009;80:1406-13.
8. Mestnik MJ, Feres M, Figueiredo LC, Duarte PM, Lira EAG, Faveri M. Short-term benefits of the adjunctive use of metronidazole plus amoxicillin in the microbial profile and in clinical parameters of subjects with generalized aggressive periodontitis. J ClinPeriodontol. 2010;37:353-65.
9. Hoepelman IM, Schneider MME. Azithromycin: the first of the tissue-selective azalides. J Antimicrob Agents. 1995;5:145-67.
10. Gladue, R. P. & Snider, M. E. (1990) Intracellular accumulation of azithromycin by cultured human fibroblasts. Antimicrob Agents Chemother 34;6:1056–60.
11. Henry DC., Riffer E, Sokol WN, Chaudry NI, Swanson RN. Randomized double-blind study comparing 3- and 6-day regimens of azithromycin with a 10-day amoxicillin-clavulanate regimen for treatment of acute bacterial sinusitis. Antimicrob Agents Chemother. 2003; 47:2770-4.

Published

2019-10-16

How to Cite

В’юн, Г. І. (2019). Effect of periodontal treatment by one stage full mouth scaling and root planing with and without azithromycin. Actual Dentistry, (4), 30. https://doi.org/10.33295/1992-576X-2019-4-30

Issue

Section

PARADONTOLOGY