Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases

  • Aline Vicentini Monteiro Paulista University, São Paulo
  • Fernanda Vieira Ribeiro Paulista University, São Paulo
  • Renato Corrêa Viana Casarin Paulista University, São Paulo
  • Fabiano Ribeiro Cirano Paulista University, São Paulo
  • Suzana Peres Pimentel Paulista University, São Paulo
  • Márcio Zaffalon Casati Paulista University, São Paulo; UNICAMP

Abstract

Aim: To investigate the indication of systemic antimicrobial agents used by dental professionals for treatment of patients affected by periodontal diseases. Methods: Interviews by a questionnaire were held with 225 professionals of different dental specialties and who performed periodontal treatment. Results: Among interviewees, 94% indicated systemic antibiotics as a form of periodontal disease treatment. Their main indication was for periodontal abscesses (80%) followed by aggressive periodontitis (62%) and necrotizing diseases (45%). The most frequently used antibiotics were amoxicillin (81%) and metronidazole (57%). The medications were indicated in association with mechanical therapy by 67% of the professionals. As regards the occasion of indication, 60% indicated systemic antibiotic therapy before and after mechanical periodontal scaling and root planing. Seventy-eight percent of the professionals indicated antibiotics associated with periodontal surgery for access to scaling, and 76% indicated it before and after the surgical procedure. Among the interviewees, 99% took into account systemic involvement for drug administration. Conclusions: It was concluded that a considerable portion of professionals indicate systemic antibiotic-therapy in an incoherent manner and in situations in which there is no indication for antibiotic use, or with ineffective protocols

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Author Biographies

Aline Vicentini Monteiro, Paulista University, São Paulo
Area of Periodontics, School of Dentistry, Paulista University, São Paulo, SP.
Fernanda Vieira Ribeiro, Paulista University, São Paulo
Area of Periodontics, School of Dentistry, Paulista University, São Paulo, SP.
Renato Corrêa Viana Casarin, Paulista University, São Paulo
Area of Periodontics, School of Dentistry, Paulista University, São Paulo, SP.
Fabiano Ribeiro Cirano, Paulista University, São Paulo
Area of Periodontics, School of Dentistry, Paulista University, São Paulo, SP.
Suzana Peres Pimentel, Paulista University, São Paulo
Area of Periodontics, School of Dentistry, Paulista University, São Paulo, SP.
Márcio Zaffalon Casati, Paulista University, São Paulo; UNICAMP
Area of Periodontics, School of Dentistry, Paulista University, São Paulo. Department of Prosthodontics and Periodontics, School of Dentistry of Piracicaba, University of Campinas (UNICAMP), Piracicaba, SP.
Published
2015-10-15
How to Cite
Monteiro, A. V., Ribeiro, F. V., Casarin, R. C. V., Cirano, F. R., Pimentel, S. P., & Casati, M. Z. (2015). Evaluation of the use of systemic antimicrobial agents by professionals for the treatment of periodontal diseases. Brazilian Journal of Oral Sciences, 12(4), 285-291. https://doi.org/10.20396/bjos.v12i4.8640940
Section
Article