最新牙周病学课件-Medication of the Periodontal Diseases教学讲义PPT课件.ppt

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1、牙周病学课件-MedicationofthePeriodontalDiseasesAimProvideacontemporaryreviewofbothsystemicandlocallydeliveredmedicationsDefinitionofAdjunctivetreatmentAdjunctivetreatmentsarethosetherapeuticinterventionsthatareusedinadditiontoconventionalperiodontaltherapy.Systemicadjuncts:Locallyde

2、liveredadjuncts:AfurtherproblemrelatingtoantibioticuseisthatofbacterialresistanceBacterialresistanceisdefinedas“adecreaseofsusceptibilitytoanantibacterialtotheextentthattherapyislikelytofailwhenitisusedclinicallyforarecommendedindication”OveruseofantimicrobialsMisuseoftheantim

3、icrobialsLapsesininfectioncontrolWidespreaduseofantibioticsinagricultureSolutionResponsibleantibioticsuseandstringentinfection-controlpoliciesAntibioticsandspecificperiodontalconditionChronicperiodontitissystemicantibioticsarenotindicatedrootsurfaceinstrumentation(RSI)Aggressi

4、veperiodontitisLocalisedaggressiveperiodontitisisassociatedwithActinobacillusactinomycetemcomitans(Aa)infectionAapossessestheabilitytoinvadethegingivalsofttissues,rapidrecolonisationafterRSItetrcycline(250mgqid)for3wmetronidazole(400mgtid)andamoxicillin(250mgtid)for7dGeneralis

5、edaggressiveperiodontitisisassociatedwithinfectionbyAaandPorphyromonasgingivalis(P.g)CombineduseofMTZandamoxicillinasadjuncttoRSIAcuteperiodontalabscessshouldbetreatedwithadjunctiveantibioticsifthereisevidenceofspreadingsystemicinfectionTheaimoftreatmentofperiodontalabscessist

6、oachievedrainageofpus,preferablyviatheperiodontalpocketfollowingRSIAmoxicillin250mgtidfor7dNocrotisingulcerativegingivitis/periodontitisNUGisanacutelypainfulconditionassociatedwithfuso-spirochaetalinfection,smoking,stress,poordietandpossiblyHIVinfection,characterisedbygingival

7、sloughingandbluntingofinterdentalpapillae.Therapyshouldreducetheplaquemass,togetherwithchemicalplaquecontrolandprescriptionofMTZ(400mgtidfor7d).Systemicantibiotics-summaryPossibleindicationsforadjunctiveantibioticsuseinperiodontitis:Aggressiveformsofperiodontitistoeliminateres

8、ervoirsofbacteriaNecrotisingperiodontalconditionPeriodontalab