[Drugs in the periodontal pocket. A review of the literature].

Abstract

The local subgingival administration of antiseptics should, theoretically, help to eliminate the pathological flora of a periodontal pocket and, therefore, help the practitioner in his therapeutical procedures. Several techniques have been utilized and tested, i.e. irrigation with a syringe, with an irrigation device, the method of Keyes and procedures of slow releasing. The results of the numerous investigations with different techniques and drugs have been described and compared. Within the limits of a well designed periodontal treatment the most appropriate and useful techniques are, at present, the following: subgingival irrigations with chlorhexidine (irrigating devices) by the patient himself, subgingival irrigations (syringes) with chlorhexidine or stannous fluoride by the practitioner during curettage, in the near future, slow releasing devices with frequent controls of the bacterial flora (darkfield microscopy) for cases of rapidly progressive periodontitis.

• Authors: B Dubrez
• Journal: Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia (Schweiz Monatsschr Zahnmed) Vol. 99 Issue 2 Pg. 149-61 ( 1989) ISSN: 0256-2855 [Print] Switzerland
• Vernacular Title: Médicaments dans la poche parodontale. Une revue de la littérature.
• PMID: 2655077 (Publication Type: Comparative Study, English Abstract, Journal Article, Review)

Chemical References

• Anti-Infective Agents, Local
• Delayed-Action Preparations

Topics

• Anti-Infective Agents, Local (administration & dosage)
• Delayed-Action Preparations
• Humans
• Periodontal Pocket (drug therapy, microbiology)
• Periodontitis (drug therapy)
• Syringes
• Therapeutic Irrigation (methods)
• Ultrasonics