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Local antibiotic therapy

In this form of antimicrobial periodontal treatment the dentist places the antibiotic medication directly into the affected mouth tissues. The material dissolves slowly releasing a controlled dose of the antibiotic for a period of a few days.

There are several types of local antibiotic therapy, including:

· Gel – A gel containing antibiotic is injected into periodontal pockets under the gums and sealed with a periodontal pack which is removed after 7 to 10 days along with any remaining gel.

o Atridox is such a gel containing doxycycline.

o Elyzol is a gel applied to the gum that is composed of metronidazole.

· Powder — The dentist places the antibiotic in the form of a powder under the gums. The powder dissolves in about three weeks.

· Chip - Chips containing antibiotic is placed under the gums and into the periodontal pockets. The chip dissolves over 7 to 10 days.

o Periochip is a small piece of gelatin filled with chlorhexidine.

o Actisite is a thread-like fiber similar to dental floss that contains tetracycline hydrochloride.

o Arestin contains tiny round particles with the antibiotic minocycline.

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