Treatment strategies for Perio Revision Questions Flashcards
1
Q
Mechanical disruption reducing bacterial challenge
A
Scaling
RSD
root planning
removing Plq retentive factors
2
Q
Systemic antibiotics or local antimicrobials to target biofilm
A
morning of 1st RSD 500mg amoxxicillin x3 7days
or
100mg doxcylcine, 1 day for 21 days with 200mg on first day
3
Q
Advatanges of local antimicrobials
A
Site specifc high local conc reduced systemic dose patient complinance not an issue drug interactions unlikely
4
Q
Disadvantages of local antimicrobials
A
expensive
limited indications
Still requires RSD or biofilm disruption
5
Q
CHX
A
only use in pockets >5mm, non calc and good levles of plq
Always with RSD
Only in isolated pockets, if deep pockets prescribe systemic antibiotics
0.2% - 10ml (20mg) one min, x2 day
or
0.12% 15ml (18mg) - one min x2 day
6
Q
What are side effects of CHX
A
staining muscoal irritation staining of tongue and teeth buring sensation interacts with sodium lorosulfate
7
Q
How is CHX diminshed
A
other drugs
food and drink
Toothbrushing
8
Q
When is CHX prescribed
A
ANUG Trauam incident candidosis muscositis in cancer patients post surgical procedure immunocompormised patients
