| Effect of non-surgical periodontal therapy combined with adjunctive antibiotics in subjects with "refractory" periodontal disease. (I). Clinical results. | |
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MedLine Citation:
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PMID: 2693498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of the present study was to evaluate the clinical effect of non-surgical periodontal therapy with the adjunct of a selected antibiotic in subjects with refractory periodontitis. 10 subjects were selected for the study; all had a history of periodontal surgery, tetracycline therapy, and regular maintenance by a periodontist. Clinical registrations including gingival index, plaque index, presence of bleeding and suppuration, pocket depth, and duplicate measurements of attachment level were performed at baseline and at monthly intervals. When disease activity was detected based on the tolerance method, a bacterial sample was taken from the active site and its susceptibilities to a number of antibiotics were determined. For the selected 10 subjects, Augmentin was the antibiotic of choice. Each subject received 750 mg/day for 2 weeks, during which time a full-month scaling and root planing was performed under local anesthesia. Clinical re-evaluation was performed after 3, 6, 9 and 12 months. At the time disease activity was detected, the average loss of attachment at all active sites was 2.2 mm, and the increase in pocket depth 1.5 mm. At 3 months post-therapy, these sites had regained 2 mm of attachment which remained stable through the 12-month examination. Pocket depths decreased 2.5 mm over the first 6 months and then stabilized. The frequency of all sites that gained 1 mm or more of attachment increased by approximately 10% over the first 9 months following therapy. The frequency of all sites that decreased 1 mm or more in pocket depth increased approximately 15% over the same period.(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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I Magnusson; W B Clark; S B Low; J Maruniak; R G Marks; C B Walker |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of clinical periodontology Volume: 16 ISSN: 0303-6979 ISO Abbreviation: J. Clin. Periodontol. Publication Date: 1989 Nov |
Date Detail:
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Created Date: 1990-03-06 Completed Date: 1990-03-06 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0425123 Medline TA: J Clin Periodontol Country: DENMARK |
Other Details:
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Languages: eng Pagination: 647-53 Citation Subset: D; IM |
Affiliation:
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Periodontal Disease Research Center, University of Florida, Gainesville 32610. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amoxicillin / therapeutic use* Amoxicillin-Potassium Clavulanate Combination Bacteria / drug effects Clavulanic Acids / therapeutic use* Combined Modality Therapy Dental Plaque Index Dental Prophylaxis* Dental Scaling* Drug Therapy, Combination / therapeutic use Epithelial Attachment / pathology Female Humans Male Middle Aged Periodontal Diseases / drug therapy, microbiology, therapy* Periodontal Index Periodontal Pocket / therapy Tooth Root / surgery |
| Grant Support | |
ID/Acronym/Agency:
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DE07117/DE/NIDCR NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Clavulanic Acids; 26787-78-0/Amoxicillin; 74469-00-4/Amoxicillin-Potassium Clavulanate Combination |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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