Primary Care
Dentistry & oral health

chronic periodontal disease - removable denture related

Skills: Clinical Input
Doxycycline alone

I do know that chronic periodontal disease is not uncommon in advanced ages. I also do know that removable denture may trigger agressive periodontal infection. On an academic base,I do know that mechanical planning plus doxycycline antibiotic may help. In my locality, that mode of debridement is not familiar to dentists - or - you can say I have no enough confidence in their experience. My question now is: to what extent doxycycline 100 mg/day for 21 days without mechanical planning can help my disease?

Ideal Applicant

Maxillofacial dental surgon

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Questions & comments

Evidence indicates potential positive effects of antibiotic therapy as an adjunct to conventional surgical and non-surgical periodontal therapy.

Antibiotic therapy per se would not be sufficient in the treatment of chronic periodontal disease.

Aggressive periodontitis (old classification) has a low incidence and prevalence and has a strong genetic component associated with it. The use of removable dental prostheses has not shown any relationship with the aggressive form of periodontal disease.

Zlwotz9xmih5fdmnl7hp Gonzalo Baez - 4 months ago

Dear abdeldayem hassanein. I do hope this email finds you well.

In this moment you need a periodontist who specializes in the prevention, diagnosis, and treatment of periodontal disease. They have received extensive training in these areas, with the latest techniques for diagnosing and treating periodontal disease.

According to the AAP (American Academy of Periodontology) and other periodontology societies, antibiotic treatment SHOULD BE used as an -adjunct- to scaling and root planing (mechanical planning). Every person has different needs, so be sure to talk to your dentist about the basic periodontal treatment. Dentists have training basic periodontal therapies. However, you should consider having both your dentist and a periodontist be actively involved in the diagnosis and treatment of your periodontal disease. They will determine if the antibiotics as part of your therapy a good fit for you.

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