PERIODONTITIS TREATMENT PROTOCOL OVERVIEW PROFESSIONAL VERSION
Conforms with the guidelines of the Board of Trustees of the American Academy of Periodontology as outlined in the position paper: Systemic antibiotics in Periodontics Journal of Periodontology, November 2004, 1553-1565; Primary author: J. Slots.
3 or 4 weeks prior to treatment:
Upon diagnosis of aggressive periodontitis, a periodontal culture is taken and samples sent to an oral pathology lab for analysis.
Day 1:
Patient begins taking the antibiotics as indicated in the lab report. Oral hygiene brushing and flossing instructions with emphasis on the next 8 days. Patient is instructed to use an oral irrigator with a bleach solution (1 tsp. bleach per 1 cup warm water) or a grapefruit seed extract solution – GSE (15 drops per 1 cup warm water) daily for 8 days, after first brushing and flossing.
Day 1 or 2:
Gross scale full mouth and 2 quadrants of rootplaning followed by a subgingival irrigation of 10% povidone iodine allowing a 5‑minute contact time.
Day 4 or 5:
2 quadrants rootplaning and subgingival irrigation with 10% povidone iodine.
Six weeks later:
Post operative periodontal evaluation and irrigation with 10% povidone iodine. Patient is placed on a 3 or 4‑month hygiene recall. Oral hygiene home care is reviewed. Patient is instructed to use oral irrigator with bleach solution 2 X week or a GSE solution daily.
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