CSA local antimicrobials in perio

Question 1

what is mechanical therapy to remove perio. pathogens?

Answer 1

• scraping near roots

- patients cleaning their teeth

Question 2

Limitations of mechanical therapy?

Answer 2

• ## teeth with furcation involvement show poor treatment outcome

Question 3

Why mechanical therapy may fail to remove pathogens?

Answer 3

• microbes trapped

Question 4

Where can microbes get trapped?

Answer 4

• sub epithelial gingival tissue
• crevicular epithelial cells
• within CONNECTIVE tissue
• altered cementum and dentinal tubules
• sub gingival calculus
• DEEP grooves
• tongue, tonsils and oral mucosa

Question 5

what is a locally delivered antimicrobial?

Answer 5

0.2% chlorhexidine gluconate:

Question 6

In perio. disease is there a high volume of GCF?

Answer 6

Yes

Question 7

Are all local delivery devices degradable?

Answer 7

YES apart from Actisite

Question 8

How to measure treatment outcomes?

Answer 8

PPD
Gingival recession
Clinical attachment level
BOP

Question 9

why can there be a change in pocket depth after treatment?

Answer 9

attachment tissue being reformed or inflammation of gingivae is resolving

Question 10

what is a reliable tool to indicate perio. stability?

Answer 10

absence of BOP

Question 11

WHAT IF patient has pockets > 3mm with NO BOP

Answer 11

OHI and scaling

Question 12

WHAT IF patient has pockets > 3mm with BOP

Answer 12

scaling and RSD

Question 13

What is actisite?

Answer 13

long ethylene vinyl acetate fibre loaded wit 25% tetrracycline

Question 14

how does actisite work?

Answer 14

bactericidal, layered within pocket and adhesive placed around tooth neck

Question 15

when is acitisite removed?

Answer 15

after 10 days, its difficult to place

Question 16

what does actisite increase?

Answer 16

0.5 MM more CAL on aver.

Question 17

What is a Periochip?

Answer 17

2.5mg chlorhexidine digluconate in biodegradable gelatine chip

Question 18

where is periochip placed?

Answer 18

• placed in a spot with as much calculus removed and is as clean as possible >disrupts the microflora biofilm >easier to kill

Question 19

what does a periochip improve?

Answer 19

pocket depths and CAL

Question 20

What is Dentomycin?

Answer 20

2% minocyline in lipid gel

Question 21

where is denotmycin placed?

Answer 21

base of pocket

Question 22

what does dentomycin improve?

Answer 22

PD and CAL

Question 23

What is Elyzol?

Answer 23

• 25% metronidazole in a monoglyceride and triglyceride gel

- quick administer

Question 24

What is Atridox ?

Answer 24

• 8.5% doxyclyine gel

Question 25

what is atridox used for?

Answer 25

guided tissue regeneration

Question 26

when Is full mouth debridement more effective with atridox?

Answer 26

after three months of scaling and root planing under LA

Question 27

What is Arestin?

Answer 27

• 1mg of minocycline HCL in encapsulated microspheres

Question 28

What are indicators for local antimcirobials?

Answer 28

* Pocket depths >5mm with BOP after review * Adjunctive to mechanical therapy * Non-responding sites after initial therapy

Question 29

What is the choice of product influenced by?

Answer 29

number of pockets to be treated

Question 30

What are the locally delivered antimicrobials?

Answer 30

``` 0.2% chlorhexidine gluconate: Actisite Periochip Dentomycin Elyzol Atridox Arestin ```