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21194877
Antimicrobials for periodontitis
Description
First Year Dentistry Mind Map on Antimicrobials for periodontitis, created by sanna pathy on 07/03/2020.
No tags specified
perio
dentistry
first year
Mind Map by
sanna pathy
, updated more than 1 year ago
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Created by
Zainab Patel
almost 5 years ago
Copied by
sanna pathy
over 4 years ago
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Resource summary
Antimicrobials for periodontitis
Rapidly progressing Grade C disease (ONLY DISEASE YOU PRESCRIBE ABX FOR IN PRACTICE)
Refer urgently!
When rate of destruction is not consistent with local factors
e.g optimal OH & no calculus
You would refer this though
Prescribe for
Severe ANUG
Periodontal abscess
If local measures don't work
Rapidly progressing Grade C disease
Refer too
Cases that haven't responded to non-surgical management of perio
Refer too
Not stabilised after repeated courses of RSI
Refer too
Notes
Must be as an adjunct to RSI
Ideally after RSI done
You want RSI to be completed in 7-14 days
Record patient compliance in notes!!!!
What to prescribe? CHECK SDCEP
Rapidly Progessing Grade C periodontitis
Doxycycline (200mg loading dose + 100mg ODS for 14 days)
VERY SEVERE
Combination of metronidazole & amoxicillin
1st Line
1. Metronidazole TABLETS 400mg TDS for 3 days (can be up to 5 days)
2. Amoxicillin CAPSULES 500mg TDS for 5 days
2nd Line
Azithromycin 500mg ODS for 3 days
Can consider Doxycycline (200mg loading dose + 100mg ODS for 14 days)
Who should i refer?
Rapidly progressing Grade C disease
MH affecting clinical management
Head & neck radiotherapy
IV bisphosphonates
Immunocompromised
Bleeding disorder
Potential drug reactions
Unstable diabetes
Any pt's that have consistent pockets >5mm with bleeding
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