Learn About
Local and Systemic Antibiotics
The Experts in Periodontics and Dental Surgery in Dallas, TX
Oral health is not just about pearly white teeth! At Dallas Periodontics and Dental Implants, we believe in treating the entire oral ecosystem, with a focus on periodontal health. One of the key elements in the treatment of periodontal diseases is the judicious use of antibiotics. Let’s delve into the world of local and systemic antibiotics used in periodontal care.
Periodontal Disease: The Silent Culprit
Periodontal disease refers to inflammatory conditions affecting the supporting structures of the teeth (like gums). If left untreated, these conditions can lead to tooth loss, bone destruction, and other complications.
Periodontal disease refers to inflammatory conditions affecting the supporting structures of the teeth (like gums). If left untreated, these conditions can lead to tooth loss, bone destruction, and other complications.
Antibiotics in Periodontal Care: Local vs. Systemic
Local Antibiotics:
What are they?
- These are directly applied to the gum pockets, releasing the medication over a period of time at the site of infection.
Types:
- Products such as Arestin (minocycline) and PerioChip (chlorhexidine) are popular choices.
Why use them?
- They target the specific site of infection, ensuring a higher concentration of the drug where it’s needed most, minimizing systemic exposure.
When are they used?
- For localized periodontal pockets and when systemic antibiotics might not be the best choice due to patient factors.
Systemic Antibiotics:
What are they?
- These are orally ingested or injected, working throughout the entire body.
Types:
- Common antibiotics include amoxicillin, tetracycline, and metronidazole.
Why use them?
- They’re beneficial in treating widespread infections or aggressive periodontitis, which affects multiple areas in the mouth.
When are they used?
- When periodontal infection is severe, widespread, or when there’s a risk of the bacteria spreading beyond the oral cavity.
Why Address Periodontal Disease?
Ignoring periodontal disease can lead to:
- Tooth Loss: Periodontal disease can weaken the structures that hold your teeth in place.
- Bone Degradation: The jawbone can recede and become weak, which might require bone grafting in the future.
- Systemic Health Issues: Research has linked untreated periodontal disease to heart disease, diabetes, respiratory diseases, and even premature births.
- Aesthetic Concerns: Receding gums, tooth mobility, and eventual tooth loss can affect your smile and confidence.
Side Effects of Antibiotics
Local Antibiotics:
- Mouth irritation or soreness
- Possible allergic reactions
- Taste alterations
Always inform your dentist about any allergies or other medications you’re taking.
Systemic Antibiotics:
- Upset stomach or diarrhea
- Photosensitivity (with drugs like doxycycline)
- Yeast infections
- Drug interactions, especially with medications like anticoagulants