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 atients 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.
12. Oteo A, Herrera D, Figuero E, O’Connor A, Gonzaґlez I, Sanz M. Azithromycin as
an adjunct to scaling and root planing in the treatment of Porphyromonas gingivalis-associated
periodontitis: a pilot study. J Clin Periodontol. 2010;37:1005-15.
13. Keestra JA, Grosjean I, Coucke W, Quirynen M, Teughels W. (2015). Non-surgical
periodontal therapy with systemic antibiotics in patients with untreated chronic periodontitis:
a systematic review and meta-analysis. J Periodontal Res 2105;50(3):294-314.
14. Haas AN, de Castro GD, Moreno T, Susin C, Albandar JM, Oppermann RV,
RoЁsing CK. Azithromycin as an adjunctive treatment of aggressive periodontitis: 12-months
randomized clinical Trial. J Clin Periodontol. 2008;35:696–704.
15. Sampaio E, Rocha M, Figueiredo LC, Faveri M, Duarte PM, Gomes Lira EA, et al.
(2011) Clinical and microbiological effects of azithromycin in the treatment of generalized
chronic periodontitis: a randomized placebo-controlled clinical trial. J Clin Periodontol.
2011;38(9):838-46.
16. Yashima A, Morozumi T, Yoshie H, Hokari T, Izumi Y, Akizuki T, et al. Biological
responses following one-stage full-mouth scaling and root planing with and without аzithromycin:
Multicenter randomized trial. J Periodontal Res. 2019:10. Available from:
https://onlinelibrary.wiley.com/doi/abs/10.1111/jre.12680 DOI: 10.1111/jre.12680

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

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