ANTİBİYOTİKLER PERİODONTAL TEDAVİDE NE ZAMAN VE NASIL KULLANILMALI?

Year 2014, Volume: 3 Issue: 2, 122 - 125, 31.08.2014

Pınar Gümüş Nurcan Buduneli

Abstract

Periodontitisin etkeni subgingival alanda yerleşip çoğalan patojen mikroorganizmalardır. Patojen bakteriler, diş yüzeylerine tutunur ve biofilm adı verilen karmaşık yapı içinde kolonize olur. Biyofilm, bakteriler için antimikrobiyal maddelere karşı korunaklı bir ortam sağladığından mekanik olarak diş yüzeyi temizliği ve kök yüzeyi düzleştirilmesi işlemleri yapılmaksızın tek başına uygulanan antibiyotikler ile periodontal tedavi sağlanamaz. Periodontal tedavide asıl hedef patojen bakterilerin diş yüzeylerinde yerleşmesini ve çoğalmasını önlemektir. Hastanın periodontal hastalıklar hakkında bilgilendirilmesi, iyi ağız bakımının öğretilmesi, diş yüzeyi temizliği ve kök yüzeyi düzleştirilmesi işlemlerini kapsayan cerrahisiz periodontal tedavi genellikle başarılı tedaviyi sağlar. Ancak, bazı durumlarda tedavinin etkinliğini arttırmak için tüm bu mekanik işlemlere ek olarak antibiyotiklerden de yararlanılır. Derleme türündeki bu makalede, hangi antibiyotikler, ne zaman, ne amaçla, nasıl periodontal tedavide mekanik işlemlere ek olarak kullanılmalı konularında güncel bilgilerin ortaya konulması amaçlanmıştır.

Keywords

Sistemik antibiyotik, Periodontitis

WHEN AND HOW TO USE ANTIBIOTICS IN PERIODONTAL TREATMENT?

Abstract

Microorganisms that colonise in the subgingival area are the main cause of periodontitis. Pathogen bacteria adhere to the tooth surfaces and colonise in the complex structure called biofilm. The biofilm provides a protected area for the bacteria and therefore, without the mechanical debridement procedures, which comprise scaling and root planing the sole antibiotic application cannot provide effective periodontal treatment. The primary purpose of periodontal treatment is to prevent adhesion and colonisation of pathogen bacteria to the tooth surfaces. Non-surgical periodontal treatment comprising patient motivation and instruction on optimal plaque control, scaling and root planing usually results in effective periodontal treatment. However, additional antibiotic usage may be necessary in some instances to increase the efficiency of mechanical treatment procedures. This review article aims to provide a contemporary overview on which antibiotics to use, when and how to use them in periodontal treatment.

Keywords

Systemic antibiotics, Periodontitis

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